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(A) Peribuccal ulcer in crusty phase, as well as oroscopy with visualisation of oedema of the uvula and left tonsil with purulent exudates. (B) Ulcer on the nasal dorsum.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Berta Alegre, Sara Jubés, Natalia Arango, Daniela Pastene, Eduardo Lehrer, Isabel Vilaseca" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Berta" "apellidos" => "Alegre" ] 1 => array:2 [ "nombre" => "Sara" "apellidos" => "Jubés" ] 2 => array:2 [ "nombre" => "Natalia" "apellidos" => "Arango" ] 3 => array:2 [ "nombre" => "Daniela" "apellidos" => "Pastene" ] 4 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Lehrer" ] 5 => array:2 [ "nombre" => "Isabel" "apellidos" => "Vilaseca" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651923000031" "doi" => "10.1016/j.otorri.2022.10.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651923000031?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573523000480?idApp=UINPBA00004N" "url" => "/21735735/0000007400000004/v1_202307201148/S2173573523000480/v1_202307201148/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Otorhinolaryngology</span>" "titulo" => "Oropharyngeal and laryngeal manifestations of human monkeypox" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "268" "paginaFinal" => "269" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mafalda Correia de Oliveira, Miguel Martins, Pedro Correia-Rodrigues" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Mafalda" "apellidos" => "Correia de Oliveira" "email" => array:1 [ 0 => "mafaldacorreiadeoliveira@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:4 [ "nombre" => "Miguel" "apellidos" => "Martins" "email" => array:1 [ 0 => "miguelfrsmartins@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Pedro" "apellidos" => "Correia-Rodrigues" "email" => array:1 [ 0 => "mcrpedro@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Otolaryngology, Centro Hospitalar Lisboa Norte - Av. Prof. Egas Moniz MB, 1649-028 Lisboa, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Internal Medicine, Centro Hospitalar Lisboa Central - R. José António Serrano, 1150-199 Lisboa, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manifestaciones orofaringeas y laríngeas de viruela del simio" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1508 "Ancho" => 1508 "Tamanyo" => 219217 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Patient’s vocal chords.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 25-year-old man presented to the emergency room with odynophagia 10 days after performing oral sex to a man infected with human monkeypox. He was previously misdiagnosed as having bacterial tonsilitis and was on amoxicillin-clavulanate for 3 days without any improvement. Physical examination showed multiple round ulcers throughout his tonsils and palate (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), base of tongue and hypopharynx (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), and vocal cords (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). He also had 3 pustules on his chest and forearm. His skin lesions and oropharyngeal swab were PCR positive for monkeypox virus DNA. He was medicated with paracetamol, ibuprofen, and prednisolone, and within a week all his symptoms disappeared. This is the first report in the literature of an oropharynx/laryngeal manifestation of human monkeypox infection. Clinicians should be aware of this possible manifestation when observing a patient with odynophagia who has a high index of suspicion for human monkeypox infection.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no competing interests to declare that are relevant to the content of this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1502 "Ancho" => 1502 "Tamanyo" => 223676 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Patient’s tonsils and soft palate.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1508 "Ancho" => 1508 "Tamanyo" => 225595 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0030" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Patient’s base of tongue and hypopharynx.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1508 "Ancho" => 1508 "Tamanyo" => 219217 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Patient’s vocal chords.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007400000004/v1_202307201148/S2173573522001193/v1_202307201148/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007400000004/v1_202307201148/S2173573522001193/v1_202307201148/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573522001193?idApp=UINPBA00004N" ]
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