A 35-year-old male patient arrived at the clinic, reporting a persistent issue of his right eye being difficult to open for the past three weeks. Alongside this, he had been experiencing a gradual development of lesions around the eye. Notably, about a month prior to the onset of these symptoms, the patient had engaged in unprotected intercourse with a male partner. The initial manifestation was a papule near the eye, which then rapidly progressed. Laboratory analysis of samples taken from the lesions confirmed the presence of monkeypox through polymerase chain reaction testing. Furthermore, this patient received positive diagnoses for both HIV and syphilis infections. Notably, his absolute CD4 count was measured at an extremely low level of 2 cells/μl.(This article was published ahead of print on the official website of Chinese Journal of Ophthalmology on September 18, 2023).
患者男性，35岁，因右眼进行性睁眼困难伴双眼丘疹3周就诊于眼科。1月前患者有高危同性性行为，脐样丘疹首发于眼部，进展迅速。皮损样本聚合酶链反应检测猴痘病毒阳性、人类免疫缺陷病毒阳性、梅毒血清学阳性；诊断为“眼部猴痘病毒感染”。（本文已于2023年9月18日出版在中华眼科杂志官网）.