A 36-year-old man has been simultaneously infected with the monkeypox virus, SARS-CoV-2 and HIV, making him the first patient with this co-infection. This is an Italian male who visited Spain between June 16 and 20, days after his trip he began to show symptoms such as fever, sore throat, and fatigue, among others. He tested positive for COVID and days later, in orthopoxvirus, the monkeypox virus. The results have been published in the journal Journal of infection.
According to the study authors, as these types of pathogens spread, it becomes more difficult for doctors to offer a correct and early diagnosis. In the case of the coinfected person, on July 2 he tested positive for COVID and that same afternoon a rash appeared on one arm, which was accompanied in the following days by painful vesicles on different parts of the body such as the torso, buttocks, the face and the lower part of the body, collect in the article. These skin wounds began to evolve into pustules characteristic of monkeypox, for which the patient went to hospital.
Already at the medical center, the man reported that in 2019 he was treated for syphilis, in 2021 he tested negative for HIV, and that during his stay in Spain he had had high-risk sexual relations, so they proceeded to do different tests to find out the origin of symptoms. Then, it was confirmed that he was infected with monkeypox, COVID-19, and that he also had HIV, despite being negative the previous year. The researchers note that this case could emphasize that sexual intercourse “could be the predominant route of transmission”, thus recommending “full STI screening after a diagnosis of monkeypox”, in addition to not being guided by appearance alone of the skin to make the diagnosis of this type of infection.