Mpox (Monkeypox) Presenting as Cervical and Vulvar Disease

BACKGROUND:Since the beginning of the current mpox (formerly monkeypox) outbreak in May 2022, 23,465 confirmed cases of monkeypox virus infection have been reported in Europe; women represent less than 1% of these cases. Mpox lesions are found with greater frequency in the genital area, and, in women, have been described primarily in the vulva.CASE:We present a case of monkeypox virus infection in a 28-year-old woman confirmed by polymerase chain reaction testing, in which the only clinical manifestation was the appearance of concomitant lesions in the cervix and the vulva, with no other clinical features. No other sexual transmitted diseases were found. The lesions disappeared spontaneously in 2 weeks.CONCLUSION:Mpox lesions can affect the cervix; thus, recognition by gynecologists is important. Given the current epidemic outbreak, correct identification is essential to help control disease transmission.

Automated summary

This article presents a case of monkeypox virus infection in a 28-year-old woman, where the only clinical manifestation was lesions in the cervix and vulva, which disappeared spontaneously after 2 weeks. Therefore, gynecologists should be aware that monkeypox virus infection can involve the cervix.