Monkeypox Presenting with Blepharoconjunctivitis

Jeffrey Bloom; Michael Parise; Omar Saeed; Cameron Holicki; Brian Mihok

doi:10.1159/000533914

Monkeypox Presenting with Blepharoconjunctivitis

Case Rep Ophthalmol. 2023 Nov 24;14(1):647-653. doi: 10.1159/000533914. eCollection 2023 Jan-Dec.

Authors

Jeffrey Bloom¹, Michael Parise², Omar Saeed¹, Cameron Holicki¹, Brian Mihok¹

Affiliations

¹ Kettering Health Dayton Eye Center, Dayton, OH, USA.
² Touro College of Osteopathic Medicine, Harlem, NY, USA.

Abstract

A 38-year-old male with recently diagnosed HIV and gonorrhea presented with umbilicated facial lesions and blepharoconjunctivitis of the right eye. Polymerase chain reaction test was performed of the skin were positive for Monkeypox (MPX). The patients' ocular symptoms improved with acyclovir, azithromycin, gemifloxacin, and tecovirimat after 3 weeks of treatment. The incidence of MPX has been on the rise in 2022, and this case represents a unique presentation and an addition to the pool of data pertinent to diagnosis and treatment of MPX and its ocular manifestations. Due to the MPX reemergence, it is imperative for ophthalmologists to keep MPX on the differential for patients presenting with blepharoconjunctivitis.

Keywords: Case report; Conjunctivitis; Eye discharge; Monkeypox.

Publication types

Case Reports

Grants and funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.