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Some people who have been bitten by monkeypox are reporting penile swelling and rectal pain, which are not normally associated with the disease.
A group of men tested positive for monkeypox at an infectious disease centre in the city between May and July 2022.
There were 71 reports of rectal pain and 31 of penile swelling. Eight of the participants were admitted to the hospital for rectal pain and five for penile swelling.
The participants had a variety of different types of scars on their body. Monkeypox is often associated with a rash that is similar to a chickenpox rash. There was a single problem in 22 of the people.
The US Centers for Disease Control and Prevention, the UK's National Health Service, and the World Health Organization did not recognize rectal pain, penile swelling, and swollen tonsils as monkeypox symptoms.
The UK Health Security Agency added a single monkeypox symptom to its list on July 25th, as well as proctitis, anal or rectal pain or bleeding.
Most of the participants reported more common monkeypox symptoms, such as a sore throat, achy muscles, and a high temperature.
The new symptoms in some people are not clear. She says it could be due to the mode of transmission or it could be a change in the disease course. It needs a lot more research.
It can take time for new symptoms to be added to the official list. She says that if you know which signs to look for, you can test them early.
There were 70 HIV positive and 56 sexually transmitted infections in the group. Having two infections at the same time could make the symptoms worse. It is important for a clinician to think about what other screening they can do for sexually transmitted infections.
Only 25% of participants reported being in close contact with someone with a confirmed monkeypox infection. There is a chance that someone could have no symptoms of monkeypox but still be able to pass it on.
She says that the transmission may be mild or atypical.
In a study published on 21 July, the Queen Mary's University of London and her colleagues found that out of 528 monkeypox infections, 54 people had a single genital injury.
She says that it is possible that the penile, anal and oral are occurring at the site of first contact with the virus.
The journal's title is The BMJ.
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