First Case of Paraphimosis as a Severe Complication of Monkeypox
Eugenio Milano, Alessandra Belati, Laura De Santis, Flavio Tanese, Antonio Vavallo, Giuseppe Dachille, Daniela Loconsole, Davide Fiore Bavaro, Francesco Di Gennaro, Maria Chironna, P. Ditonno, Annalisa Saracino
Abstract
Since May 2022, the monkeypox (MPX) virus has represented an emerging issue due to outbreaks in non-endemic areas. This report presents the first case of paraphimosis caused by an MPX infection during the outbreak. The patient accessed the emergency department for a sudden onset of swelling of the penis and paraphimosis caused by MPX lesions that brought about stenosis of the foreskin. He therefore underwent a dorsal slit procedure with resolution. No antiviral therapy was required. A multidisciplinary approach should be preferred for the management of MPX, due to the possibility of uncommon and disseminated presentations.