猴痘累及直肠1例  

Monkeypox involving the rectum:A case report

作　　者：谭滔文 余细球[2] Tao-Wen Tan;Xi-Qiu Yu(Luohu People’s Hospital,Shenzhen 518002,Guangdong Province,China;Department of Gastroenterology,Luohu People’s Hospital,Shenzhen 518002,Guangdong Province,China)

机构地区：[1]深圳市罗湖区人民医院,广东省深圳市518002 [2]深圳市罗湖区人民医院消化内科,广东省深圳市518002

出　　处：《世界华人消化杂志》2024年第9期695-698,共4页World Chinese Journal of Digestology

摘　　要：背景猴痘病毒(monkeypox virus,MPXV)感染通常表现为典型皮肤病变,但在本案例中发现其可致直肠占位样改变,临床少见,易造成误诊.病例简介本例患者主诉肛门坠胀疼痛伴黏液脓血便,肠镜检查发现直肠占位样改变,初步疑诊直肠肿瘤.经详细检查与猴痘病毒核酸检测,最终确诊为MPXV感染所致.予抗病毒等对症治疗后,患者症状逐渐缓解,直肠占位样改变显著改善.结论本例猴痘患者表现为直肠占位样改变,拓宽了我们对MPXV感染临床表现的认识.面对不典型症状的猴痘病例时,临床医生要拓宽思路,保持警惕,若条件有限时尽快转至传染病医院治疗.BACKGROUND Monkeypox virus(MPXV)infection tends to present as typical skin lesions,but in the case presented here,it was found to cause space-occupying rectal lesions,which is clinically rare and can cause misdiagnosis.CASE SUMMARY A 33-year-old male patient presented with symptoms including pain and swelling in the anus with muco-purulent and bloody stools.Colonoscopy identified rectal mass-like lesions,raising suspicion of rectal cancer.A diagnosis of MPXV infection was established by monkeypox virus nucleic acid detection.After antiviral treatment,the patient’s symptoms were gradually relieved,and the space-occupying rectal lesions were significantly improved.CONCLUSION This case of monkeypox manifesting as space-occupying rectal lesions broadens our understanding of the clinical manifestations of MPXV infection.Clinicians should be aware of this rare manifestation,and such patients should be transferred to an infectious disease hospital if necessary.

关 键 词：猴痘 猴痘病毒 直肠病变 

分 类 号：R511[医药卫生—内科学]