ASM case reportsPub Date : 2025-08-26eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00069-25
Tessa E LeCuyer, Alexandra S Fox, Amanda A Carbonello, Diamond McClendon, Timothy Bolton
{"title":"Urinary tract infection in a cat and cholangiohepatitis in a dog caused by the same strain of CTX-M-14 extended-spectrum beta-lactamase-producing <i>Escherichia coli</i> ST162 in a household: case report.","authors":"Tessa E LeCuyer, Alexandra S Fox, Amanda A Carbonello, Diamond McClendon, Timothy Bolton","doi":"10.1128/asmcr.00069-25","DOIUrl":"10.1128/asmcr.00069-25","url":null,"abstract":"<p><strong>Background: </strong>Extended-spectrum beta-lactamase (ESBL)-producing Enterobacterales can be disseminated within households, including sharing of strains between people and pets, posing a public health risk. This case report demonstrates that household dissemination can also lead to antimicrobial-resistant infections in other pets in the household.</p><p><strong>Case summary: </strong>A 14-year-old domestic shorthair cat with a subcutaneous ureteral bypass system was diagnosed with a urinary tract infection caused by <i>Escherichia coli</i> ST162 with CTX-M-14 ESBL. The cat was successfully treated. Seven months later, a 16-year-old mixed-breed dog in the same household was diagnosed with cholangiohepatitis caused by <i>E. coli</i> ST162 with CTX-M-14. Genomic comparison of the feline urine and canine bile isolates showed that they were highly genetically similar, despite months passing between resolution of the cat's infection and the beginning of the dog's clinical signs.</p><p><strong>Conclusion: </strong>Dissemination of ESBL-producing <i>E. coli</i> to other pets, as well as to people, is possible when an animal in the household has an infection. In this case, cohabiting animals both developed clinical infections, highlighting the need for guidance to prevent pet-to-pet spread of antimicrobial-resistant pathogens.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-26eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00101-25
Manukumar Honnayakanahalli Marichannegowda, Yasmine Farah, Meera Bose, Eric Sanders-Buell, David King, Leilani Francisco, Leigh Anne Eller, Abdur Rashid, Sodsai Tovanabutra, Nelson L Michael, Merlin L Robb, Hongshuo Song
{"title":"Distinct memory CD4<sup>+</sup> T cell subset tropism of two CCR5-tropic HIV-1 in a rapid progressor.","authors":"Manukumar Honnayakanahalli Marichannegowda, Yasmine Farah, Meera Bose, Eric Sanders-Buell, David King, Leilani Francisco, Leigh Anne Eller, Abdur Rashid, Sodsai Tovanabutra, Nelson L Michael, Merlin L Robb, Hongshuo Song","doi":"10.1128/asmcr.00101-25","DOIUrl":"10.1128/asmcr.00101-25","url":null,"abstract":"<p><strong>Background: </strong>Low HIV-1 infection level in the central memory CD4<sup>+</sup> T cell subset is a hallmark of both non-progressive HIV infection and non-pathogenetic SIV infection in the natural hosts. However, an important gap in knowledge is whether CCR5-tropic HIV-1 variants have different memory CD4<sup>+</sup> T cell subset preferences.</p><p><strong>Case summary: </strong>Here, we identified clear compartmentalization of two CCR5-tropic HIV-1 in different memory CD4<sup>+</sup> T cell subsets in a rapid progressor. Participant 40512 was identified in the RV217 cohort. While the transmitted/founder (T/F) virus in 40512 was compartmentalized in the central memory CD4<sup>+</sup> T cells, the superinfecting virus was compartmentalized in the effector memory CD4<sup>+</sup> T cells. Both viruses rely on CCR5 to infect primary CD4<sup>+</sup> T cells. The T/F virus is more than 100-fold more resistant to the CCR5 inhibitor Maraviroc than the superinfecting virus.</p><p><strong>Conclusion: </strong>This case report demonstrates that CCR5 HIV-1 variants have distinct memory CD4<sup>+</sup> T cell subset preferences <i>in vivo</i>. Because CD4<sup>+</sup> T cell subset targeting is highly relevant for HIV-1 pathogenesis, understanding the underlying molecular mechanisms may provide deeper insights into HIV-1 therapeutics and functional cure.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recurrent meningitis due to <i>Salmonella arizonae</i> in an adult with AIDS: case presentation and next-generation sequencing analysis.","authors":"Jairo Lizarazo, Catering Rodriguez, Efrain Montilla-Escudero, Carolina Duarte","doi":"10.1128/asmcr.00095-25","DOIUrl":"10.1128/asmcr.00095-25","url":null,"abstract":"<p><strong>Background: </strong>Invasive non-typhoidal <i>Salmonella</i> disease is a leading cause of morbidity and mortality worldwide, primarily affecting children, the elderly, and immunocompromised adults, particularly those living with HIV. Salmonella meningitis is rare, except in sub-Saharan Africa. <i>Salmonella arizonae</i> is associated with reptiles and exceptionally causes meningitis in humans.</p><p><strong>Case summary: </strong>We present the case of an adult man living with HIV who presented five episodes of bacterial meningitis due to <i>S. arizonae</i> within a period of 8 months. The patient improved after performing cholecystectomy and with optimization of antiretroviral treatment and prolonged antibiotic therapy. Genomic study confirmed that <i>S. arizonae</i> is sensitive to antibiotics.</p><p><strong>Conclusion: </strong>This case illustrates a rare form of <i>S. arizonae</i> meningitis. The identity of the etiological agent was confirmed by next-generation sequencing analysis.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-25eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00064-24
Maho Okumura, Nathan Helgert, Katharine Tuohy, Donna J Kelly, Stephen D Cole
{"title":"Sudden deaths of two dogs in a breeding colony associated with enteropathogenic <i>Escherichia coli</i> and necrotoxigenic <i>Escherichia coli</i>.","authors":"Maho Okumura, Nathan Helgert, Katharine Tuohy, Donna J Kelly, Stephen D Cole","doi":"10.1128/asmcr.00064-24","DOIUrl":"10.1128/asmcr.00064-24","url":null,"abstract":"<p><strong>Background: </strong>This case report describes the peracute deaths of two healthy pups in a breeding facility associated with enteropathogenic <i>Escherichia coli</i> (EPEC) and a distinct strain of necrotoxigenic <i>E. coli</i> (ExP-NTEC) co-infection. When <i>E. coli</i> is recovered from post-mortem samples, the role of the organism can be challenging to elucidate. In this case, the use of whole-genome sequencing (WGS) uncovered the virulence factors associated with isolates from both cases and a molecular epidemiological connection between the two deaths.</p><p><strong>Case summary: </strong>A 7-week-old male and an 8-week-old female intact mixed-breed dogs were found deceased, shortly after routine examination with no preceding clinical signs. Post-mortem examination revealed multiple organ abnormalities, including bronchopneumonia with alveolar collapse, hepatic lipidosis, gastrointestinal inflammation, and bacterial colonization in the lungs and intestines. Bacterial cultures from the lungs and intestines of both pups yielded multiple bacterial species. WGS of six <i>E. coli</i> isolates from both pups identified ST5683 and ST127 strains, possessing two different morphotypes and virulence factors that distinguished them as EPEC ExP-NTEC.</p><p><strong>Conclusion: </strong>The findings suggest a role of EPEC and ExP-NTEC in the sudden deaths of neonatal dogs, possibly exacerbated by a naïve immune system. It is challenging to fully characterize the pathogenesis and potential risk factors as <i>E. coli</i> is present in the gastrointestinal system of healthy and asymptomatic carrier animals; however, these cases highlight the importance of comprehensive diagnostic approaches, including tools such as WGS.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-21eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00061-25
Frederik Juel Pontoppidan Børrild, Emil Fosbøl, Casper Roed, Melissa Hornbæk Øvre, Helle Brander Eriksen, Christian Kraef, Jannik Helweg-Larsen, Zitta Barrella Harboe, Christina Ekenberg
{"title":"Multisite infection with Austrian syndrome caused by non-vaccine pneumococcal serotype-case report.","authors":"Frederik Juel Pontoppidan Børrild, Emil Fosbøl, Casper Roed, Melissa Hornbæk Øvre, Helle Brander Eriksen, Christian Kraef, Jannik Helweg-Larsen, Zitta Barrella Harboe, Christina Ekenberg","doi":"10.1128/asmcr.00061-25","DOIUrl":"10.1128/asmcr.00061-25","url":null,"abstract":"<p><strong>Background: </strong>Although rare, Austrian syndrome remains a life-threatening triad consisting of pneumonia, endocarditis, and meningitis caused by <i>Streptococcus pneumoniae</i>.</p><p><strong>Case summary: </strong>We present a case of Austrian syndrome, further complicated by spondylodiscitis and endophthalmitis, in an immunocompromised male receiving methotrexate treatment for rheumatoid arthritis. The infection was caused by a non-vaccine pneumococcal serotype (23B). Susceptibility testing showed reduced susceptibility towards benzylpenicillin, an uncommon finding in Denmark.</p><p><strong>Conclusion: </strong>This case illustrates some of the challenges faced in managing invasive pneumococcal disease and underlines the importance of continued awareness of this disease, particularly in immunocompromised patients.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145545007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-21eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00074-25
Nathaniel Lizak, Grace Butel-Simoes, Eike Steinig, Belinda Cruse, Edrich Rodrigues, Kirsty Buising, Joe Sasadeusz, Marcelina Krysiak, Bruce Thorley, Matthew Kaye, Leon Caly, Jean Moselen, Ivana Savic, Andrew W Roberts, Katherine Bond, Chuan Kok Lim, Deborah A Williamson, Prashanth Ramachandran
{"title":"A case of enterovirus D68-associated acute flaccid myelitis in an immunocompromised adult, Australia.","authors":"Nathaniel Lizak, Grace Butel-Simoes, Eike Steinig, Belinda Cruse, Edrich Rodrigues, Kirsty Buising, Joe Sasadeusz, Marcelina Krysiak, Bruce Thorley, Matthew Kaye, Leon Caly, Jean Moselen, Ivana Savic, Andrew W Roberts, Katherine Bond, Chuan Kok Lim, Deborah A Williamson, Prashanth Ramachandran","doi":"10.1128/asmcr.00074-25","DOIUrl":"10.1128/asmcr.00074-25","url":null,"abstract":"<p><strong>Background: </strong>Acute flaccid myelitis (AFM) is a predominantly pediatric, polio-like syndrome associated with enterovirus D68. AFM in adults is rare, reported predominantly in immunocompromised hosts.</p><p><strong>Case summary: </strong>Here, we report detection of enterovirus D68 in an immunocompromised Australian adult, specifically the B3 subgroup.</p><p><strong>Conclusion: </strong>This strain is phylogenetically linked to the 2018 AFM outbreaks in the USA and to documented cases in 2022 in France.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic <i>Cyclospora</i> infection in a heart transplant patient with intestinal malabsorption: a case report.","authors":"Katie Ambrose, Robert Hamilton-Seth, Mollie Jackson, Rachel Sigler, Daffolyn Rachael Fels Elliott","doi":"10.1128/asmcr.00062-25","DOIUrl":"10.1128/asmcr.00062-25","url":null,"abstract":"<p><strong>Background: </strong>Cyclosporiasis is a rare cause of chronic diarrhea and malabsorption in immunosuppressed patients.</p><p><strong>Case summary: </strong>We report an unusual case of chronic <i>Cyclospora</i> infection in a heart transplant patient with a five-month history of watery diarrhea and weight loss. Initial stool testing failed to discover a causative pathogen. Duodenal biopsy showed histologic findings of intraepithelial lymphocytosis and partial villous blunting, raising the possibility of celiac disease. A repeat duodenal biopsy five months later revealed intracellular parasites with gametocyte, meront, and schizont forms, and the diagnosis of <i>Cyclospora</i> infection was confirmed by BIOFIRE Gastrointestinal (GI) Pathogen Panel.</p><p><strong>Conclusion: </strong>Morphologic diagnosis of enteric parasite infections is challenging and requires a high level of clinical suspicion in immunosuppressed patients. In addition to significant exposures and travel history, chronic immunosuppression should prompt extensive microbial testing, including stool ova and parasite, acid-fast testing, and/or multiplex PCR for GI pathogens in post-transplant patients with unexplained diarrhea.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-08eCollection Date: 2026-01-01DOI: 10.1128/asmcr.00053-25
Kathryn Phillips, Karen P Acker, Jin-Young Han, Christine M Salvatore, Sallie R Permar, Rebecca Marrero Rolón, Jamie Marino, Claire Dysart, David M Berman, Charles Y Chiu, Sarah E Kidd, Lars F Westblade, Melanie M Dubois
{"title":"<i>Trichosporon inkin</i> meningitis in a pediatric patient diagnosed via metagenomic sequencing.","authors":"Kathryn Phillips, Karen P Acker, Jin-Young Han, Christine M Salvatore, Sallie R Permar, Rebecca Marrero Rolón, Jamie Marino, Claire Dysart, David M Berman, Charles Y Chiu, Sarah E Kidd, Lars F Westblade, Melanie M Dubois","doi":"10.1128/asmcr.00053-25","DOIUrl":"10.1128/asmcr.00053-25","url":null,"abstract":"<p><strong>Background: </strong><i>Trichosporon</i> has emerged as an important cause of invasive fungal infections in immunocompromised patients. There are limited data on invasive <i>Trichosporon</i> infections in children.</p><p><strong>Case summary: </strong>We report a case of culture-negative <i>Trichosporon inkin</i> meningitis diagnosed via metagenomic next-generation sequencing of plasma and cerebrospinal fluid in an infant with retinoblastoma. In addition, we highlight the role of β-1,3-D-glucan in the diagnosis and therapeutic monitoring of trichosporonosis, and cross-reactivity of the cryptococcal antigen lateral flow assay with <i>T. inkin</i>.</p><p><strong>Conclusion: </strong>This diagnosis, which was challenging to make in the absence of a positive culture, highlights the utility of metagenomic sequencing methods and fungal biomarkers in identifying infectious agents and ensuring timely diagnosis and management of patients with rare fungal infections of the central nervous system.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12772342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-05eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00060-25
Caitlin Raymond, Amir Seyedmousavi, Adrian M Zelazny, Jennifer D Treat, Chioma Aneke, Roya Zarpak, Kamille West-Mitchell, Steven M Holland, Christa S Zerbe
{"title":"Breaking the mold: a case of invasive <i>Medicopsis romeroi</i> pulmonary infection with innovative granulocyte treatment strategy.","authors":"Caitlin Raymond, Amir Seyedmousavi, Adrian M Zelazny, Jennifer D Treat, Chioma Aneke, Roya Zarpak, Kamille West-Mitchell, Steven M Holland, Christa S Zerbe","doi":"10.1128/asmcr.00060-25","DOIUrl":"10.1128/asmcr.00060-25","url":null,"abstract":"<p><strong>Background: </strong><i>Medicopsis romeroi</i> only rarely causes infection in immunocompromised individuals. We report a rare case of invasive infection in a specific primary immunodeficiency not arising from primary cutaneous infection.</p><p><strong>Case summary: </strong>A 16-year-old male with chronic granulomatous disease (CGD) developed progressively enlarging diffuse pulmonary nodules in the setting of admission with obstructive hydrocephalus. A transthoracic biopsy grew a dematiaceous mold, identified as <i>Medicopsis romeroi</i> through DNA sequencing of the internal transcribed spacer (ITS) region of ribosomal DNA (rDNA). The nodules progressed despite a combination of posaconazole, isavuconazole, terbinafine, and liposomal amphotericin B. A course of HLA-compatible granulocytes was initiated, resulting in stabilization of the infection.</p><p><strong>Conclusion: </strong>This is a rare case of <i>M. romeroi</i> causing an invasive fungal infection of a visceral organ, the second documented <i>M. romeroi</i> infection in a CGD patient, and a report of a novel treatment regimen for this pathogen.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ASM case reportsPub Date : 2025-08-01eCollection Date: 2025-11-01DOI: 10.1128/asmcr.00104-24
Guilherme S Lira, Mariana Q S Melo, Isabela C Leitão, Matheus V Andrade, Anna C Castiñeiras, Diana Mariani, Cássia C A Gonçalves, Lendel C Costa, Danielle A S Rodrigues, André M Vale, Filipe R R Moreira, Carolina M Voloch, Débora S Faffe, Luiza M Higa, Rafael M Galliez, Clarissa R Damaso, Amilcar Tanuri, Terezinha M P P Castiñeiras
{"title":"Atypical presentation of occupational mpox: a case report from Brazil.","authors":"Guilherme S Lira, Mariana Q S Melo, Isabela C Leitão, Matheus V Andrade, Anna C Castiñeiras, Diana Mariani, Cássia C A Gonçalves, Lendel C Costa, Danielle A S Rodrigues, André M Vale, Filipe R R Moreira, Carolina M Voloch, Débora S Faffe, Luiza M Higa, Rafael M Galliez, Clarissa R Damaso, Amilcar Tanuri, Terezinha M P P Castiñeiras","doi":"10.1128/asmcr.00104-24","DOIUrl":"10.1128/asmcr.00104-24","url":null,"abstract":"<p><strong>Background: </strong>After decades of circulating predominantly in Africa, mpox caused a public health emergency of international concern between 2022 and 2023. Even outside of the epidemic period, the virus still circulates, with threats of reemergence, and different clinical presentations must be brought to attention for optimal surveillance.</p><p><strong>Case summary: </strong>We report a case of monkeypox virus (MPXV) infection in a previously healthy physician with an atypical clinical presentation and a single identified exposure. Diagnosis was confirmed by PCR. Viral isolation was employed to reinforce diagnosis. Plaque reduction neutralization assays and semiquantitative ELISA were used to evaluate the antibody response.</p><p><strong>Conclusion: </strong>Our report has two main messages: atypical symptoms of mpox can hinder diagnosis, making adequate suspicion and testing fundamental; and the risk of occupational exposure must be considered when designing policies for healthcare workers.</p>","PeriodicalId":521101,"journal":{"name":"ASM case reports","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}