“On admission, the patient reported being treated for syphilis in 2019. In September 2021, he performed an HIV test with a negative result. He suffered from bipolar disorder, for which he regularly took carbamazepine 200 mg daily,” wrote the researchers in the journal.
“He was vaccinated for SARS-CoV-2 with two doses of Pfizer’s BNT162b2 mRNA vaccine (the last in December 2021) and had already contracted COVID-19 in January 2022.”
He first received a positive test for COVID on July 2, and the following day, rash and lesions appeared on his torso, face, glutes, and lower limbs.
By July 5, the rash had continued to spread. And that’s when he sought treatment at an Italian hospital, where doctors uncovered that he had also contracted monkeypox.
The doctors further tested for a series of sexually transmitted infections, including an HIV test that came back positive.
The event marks the first time the three diseases have been diagnosed in one patient at the same time.
The researchers also noted that monkeypox and COVID often have similar symptoms, including fever, sore throat, and headache, which made it “difficult for physicians to perform the correct diagnosis, also considering that not all patients with monkeypox develop skin lesions and that COVID-19 may rarely present with rash and vesicles.”