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Revista Uruguaya de Medicina Interna

On-line version ISSN 2393-6797

Abstract

NAVAS CASTILLO, Jessenia Sabrina et al. Diagnosis and follow-up of sexually transmitted infections in patients with suspected monkeypox. Roosevelt Hospital, Guatemala. Rev. Urug. Med. Int. [online]. 2025, vol.10, e304.  Epub July 01, 2025. ISSN 2393-6797.  https://doi.org/10.26445/10.01.7.

Introduction:

Monkeypox (mpox) is a zoonotic viral infection that produces a skin rash similar to smallpox. The coexistence of mpox with sexually transmitted diseases (STIs) has been described, mainly in the population of men who have sex with men (MSM) and HIV patients. The objective is diagnose and monitor STIs in patients with suspected monkeypox treated at the Roosevelt Hospital, Guatemala.

Methods:

Descriptive, longitudinal, retrospective study. The population was made up of a total of 78 records of adults with suspected mpox.

Results:

All patients were male. The predominant age range was 20-29 (52.9%) with a mean of 25 years; 76.9% reported MSM sexual orientation, 16.7% bisexual and 6.4% heterosexual. 92.3% were positive for mpox. 61.5% mpox and HIV coinfection was found. 33.3% presented some STI. The general coinfection of mpox and STI was 26.9%, while by causal agent it was 15.4% with syphilis, 10.3% with C. trachomatis as well as N. gonorrhoeae, 9.0% with each of the microorganisms Mycoplasma hominis and Ureaplasma urealyticum, 7.7% with Candida albicans, 5.1% with Mycoplasma genitalium same as with herpes simplex 2 and 1.3% herpes simplex 1; all cases were known to be HIV carriers. In addition, 2.6% of HBV and 5.1% of HCV were detected.

Conclusion:

The results demonstrate the importance of screening for STIs in people with suspected mpox, as well as testing for infections that are not considered sexually transmitted, but that can be acquired by having the same route of transmission.

Keywords : monkeypox; sexually transmitted infections; HIV; coinfection; Guatemala.

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