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Medical Experts Report Unusual Mpox Presentation in Thailand

Khaosod Online Thailand One source

A 32-year-old woman in Thailand was diagnosed with mpox after initially presenting with severe sore throat and no visible skin rashes, highlighting a shift in clinical symptoms.

According to a report shared by the Drama-addict page and cited by Khaosod Online, medical professionals in Thailand are observing changes in how mpox manifests in patients. A notable case involves a 32-year-old woman who sought treatment for a persistent sore throat and fever lasting two weeks. Despite initial antibiotic treatment, her condition did not improve. Clinical examination revealed white lesions on the back of her pharyngeal wall, while no rashes were present on her body at that time. Four days later, the patient developed pustules on her navel, right shoulder blade, and breast. Subsequent testing confirmed an mpox infection.

Medical experts note that while oral lesions occur in approximately 14% to 30% of mpox cases, it is rare—occurring in only about 5% of cases—for the infection to present solely with throat pain and oral lesions without initial skin rashes. This development is significant for residents and travelers, as it suggests that persistent sore throats unresponsive to standard treatment may warrant further investigation for mpox. While this case provides insight into evolving clinical presentations, it remains to be confirmed how widespread these atypical symptoms are within the broader population. Individuals experiencing persistent throat pain or unexplained lesions are advised to consult healthcare professionals for proper diagnosis.