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A Painful Diffuse Rash

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  • Additional Information
    • Publication Information:
      ODU Digital Commons
    • Publication Date:
      2026
    • Collection:
      Old Dominion University: ODU Digital Commons
    • Abstract:
      [Patient presentation] A 41-year-old male with no past medical history presented with 1 week of ulcers to the left side of his face, followed by several days of a painful rash to the trunk and back after a sexual encounter. The patient denies any fever or previous rash and any illicit drug use. Initial vital signs included a temperature of 97 °F, a heart rate of 89 beats per minute, and blood pressure of 135/79 mm Hg. Physical examination revealed a macular papular rash across his trunk and back (Fig 1) and facial ulcerations with eschar (Fig 2) at the same stage. Laboratory findings showed a white blood cell count of 6.9 K/μL. Testing for human immunodeficiency virus (HIV) syphilis, herpes simplex virus, gonorrhea, and chlamydia was negative. Polymerase chain reaction (PCR) for monkeypox tested positive.
    • File Description:
      application/pdf
    • Accession Number:
      10.1016/j.acepjo.2025.100290
    • Online Access:
      https://digitalcommons.odu.edu/emergency-medicine_pubs/9
      https://doi.org/10.1016/j.acepjo.2025.100290
      https://digitalcommons.odu.edu/context/emergency-medicine_pubs/article/1008/viewcontent/Lo_2026_APainfulDiffuseRashOCR.pdf
    • Rights:
      © 2025 The Authors. This is an open access article under the Creative Commons Attribution 4.0 International (CC BY 4.0) License .
    • Accession Number:
      edsbas.7164D2BC