case_images: PMC11824946_01
case_images: Signs and symptoms; clinical evaluation, findings, and management*; and laboratory results in a case of clade Ib monkeypox virus infection in a traveler to East Africa  : California, 2024. Abbreviations: ED = emergency department; MPXV = monkeypox virus; NVO = nonvariola orthopoxvirus; PCR = polymerase chain reaction.. * Patient received oral antibiotics on two separate occasions, beginning on days 2-3, and again after hospital discharge on days 6-11. Intravenous antibiotics were administered during the patient's hospitalization..   The patient's travel to East Africa was ascertained at the time of the ED evaluation on day 7. Swabs were sent for testing at that time.
case_images: mm7404a1-F1.jpg
case_images: PMC11824946_01_mm7404a1-F1.jpg
case_images: F1
case_images: Health revealed that before departure for Africa from the United States, he reported the presence of a small "ingrown hair" in the pubic area, which became more tender and swollen over the course of his 1-week trip in East Africa. He experienced subjective fever during his return to the United States via commercial airline (day 0) (Figure 1).
case_images: Progression of lesions in a patient with clade Ib monkeypox virus infection 7, 11, and 23 days after return to the United States from East Africa : California, 2024. Photos/Anna Branzuela (photos reproduced with the patient's permission). Abbreviations: ED = emergency department; MPXV = monkeypox virus.
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case_images: PMC11824946_01_mm7404a1-F2.jpg
case_images: F2
case_images: The following day, the inguinal pain worsened, and discrete papular, vesicular, and pustular lesions appeared on his face, back, arms, and legs (Figure 2), prompting another ED visit.