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Santi Nolasco1,*, Francesco Vitale2,3, Alessandro Geremia4, Fabio Tramuto2,3, Carmelo Massimo Maida2,3, Alice Sciuto4, Christian Coco4, Rosa Manuele4, Emilio Frasca4, Maria Frasca4, Salvatore Magliocco4, Alfio Gennaro1, Elda Tumino1, Mauro Maresca4, Arturo Montineri4
HIGHLIGHTS
● Monkeypox virus and SARS-CoV-2 infections can occur simultaneously.
● Flu-like symptoms and SARS-CoV-2 positivity should not exclude monkeypox in high-risk individuals.
● Monkeypox is often diagnosed in subjects with a previous or concomitant sexually transmitted infection.
● The oropharyngeal swab for monkeypox virus may still be positive for several days after clinical remission.
● Since there is no widely available treatment or prophylaxis, rapid diagnosis is key to containment
In this journal E. Orviz and colleagues recently described the clinical presentation of the first monkeypox patients in Spain [[1]], highlighting the frequent co-presence of sexually transmitted infections (STI). To date, no reports of co-infection with monkeypox virus and SARS-CoV-2 have been published. Therefore, in this study we present the clinical features and diagnostic procedure of the first documented case of co-infection with monkeypox virus, SARS-CoV-2 and HIV-1. ...
