P032 Monkeypox proctitis: should be classified as a sexually transmitted infection?

• DOI: 10.1136/sextrans-bashh-2023.72
• Publication Date: 2023-06-20T21:10:50Z
• Authors: Evanthia Mastoraki; Angela Robinson; Rita Browne; Eva Jungmann
• Keywords: Anal intercourse

<h3>Introduction</h3> Monkeypox virus (Mpox) has emerged as a new pathogen associated with proctitis. This case series investigates the prevalence and clinical features of Mpox <h3>Methods</h3> We retrospectively identified all proctitis cases managed by our service in 2022 extracted pertinent information from their records. <h3>Results</h3> Overall 146 patient episodes were coded (Figure 1). A total 64 (39%) patients 165 testing positive for had All men who have sex (MSM), 29 (45%) HIV positive: 25 (71%) 35 HIV-negative patients, on pre-exposure prophylaxis (PrEP); 55 (86%) reported condomless receptive anal intercourse preceding three months. The presenting symptoms included anorectal pain (97%), discharge (55%), bleeding (33%), perianal lesions (77%). Of 58 (91%) underwent full STI screening, 17% at least another different anatomical site 43% rectum 2). In 44% generalised rash 11% no identifiable rashes or skin lesions. <h3>Discussion</h3> is not considered an traditional definition, but this demonstrates it important role infectious protictis. It unclear what will be future follwing widespread vaccination decreasing prevalence. However, should part differential diagnosis MSM, even absence any systemic symptoms, especially during outbreak.