Man tests positive for COVID, Monkeypox and HIV after trip to Spain

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A man from Italy tested positive for COVID-19, monkeypox and HIV at the same time after returning from a short trip to Spain, according to researchers from the University of Catania in Italy.

The scientists stated in the Journal of Infection that the 36-year-old man, who has not been identified, developed a fever, sore throat, fatigue and headache as a result of the co-infection.

There are 632.4 million people living with all three viruses individually.

  • The World Health Organization (WHO) said there were more than 594 million confirmed cases of COVID worldwide as of Wednesday.
  • On Wednesday, the Center for Disease Control and Prevention (CDC) confirmed approximately 44,503 cases of monkeypox worldwide.
  • The WHO reported in July that 38.4 million people were living with HIV globally in 2021.

The Journal of Infection report highlighted the continued dominance of COVID-19 and monkeypox around the world as they released details of the human co-infection.

Pictured above, Registered Professional Nurse Adrian Gutierrez prepares a dose of the Jynneos monkeypox vaccine at an LA County vaccination site in East Los Angeles on August 10 in Los Angeles, California. A man in Italy tested positive for COVID-19, monkeypox and HIV at the same time after returning from a short trip to Spain, according to researchers from the University of Catania in Italy.
Photo by Mario Tama/Getty Images

The Italian is said to have spent five days in Spain in June and developed the symptoms nine days after returning from the trip.

As for COVID, the patient received two doses of the COVID vaccine and had already contracted the virus in January, but tested positive for COVID-19 on July 2 and began developing a rash on his left arm the same day. .

The next day, small painful blisters surrounding a rash appeared on the patient’s torso, lower limbs, face and buttocks. The blisters continued to spread on July 5 and turned into pustules, prompting him to go to the emergency room of Catania University Hospital where he was transferred to the infectious diseases unit.

In hospital, the patient tested positive for monkeypox after saying he had “sex without a condom with men while in Spain”. Several STI tests also came back positive for HIV, in which the scientists said they “assumed the infection was relatively recent”.

“This case highlights how symptoms of monkeypox and COVID-19 can overlap, and supports the fact that when co-infected, anamnestic collection and sexual habits are crucial to making the correct diagnosis.” , the researchers said.

The man was released from hospital on July 11 and isolated at his home.

The researchers continued: “Clinicians should be aware of the possibility of co-infection with SARS-CoV-2 and monkeypox virus, particularly in subjects with recent travel to outbreak areas. monkeypox.”

“Our case highlights that sexual intercourse may be the predominant mode of transmission. Therefore, comprehensive STI screening is recommended following a diagnosis of monkeypox,” reads their report.

However, as this is the only reported case of monkeypox, COVID and HIV, there is insufficient evidence to state that this “association may worsen [a] the patient’s condition.”

“Given the current SARS-CoV-2 pandemic and the daily increase in monkeypox cases, healthcare systems need to be aware of this possibility, promoting appropriate diagnostic testing in high-risk subjects, who are critical to containment as there is no widely available treatment or prophylaxis,” the researchers added.

Newsweek contacted some of the authors of the report for additional information and comments.

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