Mpox transmitted through sexual intercourse: three case reports




Mpox, Monkeypox, sexually transmitted diseases, Case reports, Outbreaks


Introduction: In 2022, many countries, such as Brazil, experienced outbreaks of mpox (formerly called monkeypox) in sexually active people with multiple sexual partners. Objective: Report cases of patients diagnosed with Mpox. Methods: Report three cases of patients diagnosed with Mpox treated at the STD Sector at Universidade Federal Fluminense. Results: We report three cases of young adult patients who spontaneously sought our STD service with wounds in the anogenital area, mouth and other parts of the body. These cases include a 28-year-old man (HIV positive) who had lesions on his penis and body, a 34-year-old man with perianal ulcers and adenopathy, and a 40-year-old man with painful ulcers on his penis. Conclusion: The article provides information on the symptoms, transmission, and prevention of mpox, highlighting the need for early detection, diagnosis, and prompt treatment to contain and prevent the spread of the disease. The cases presented in this study show all the characteristics of a sexually transmitted disease.


Download data is not yet available.


Taylor L. Monkeypox: WHO to rename disease to prevent stigma. BMJ. 2022;377:o1489.

Thornhill JP, Barkati S, Walmsley S, Rockstroh J, Antinori A, Harrison LB, et al. Monkeypox virus infection in humans across 16 countries – April-June 2022. N Engl J Med. 2022;387(8):679-91.

Nuzzo JB, Borio LL, Gostin LO. The WHO declaration of monkeypox as a global public health emergency. JAMA. 2022;328(7):615-7.

Silva MST, Coutinho C, Torres TS, Peixoto E, Ismério R, Lessa F, et al. Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil. Lancet Reg Health Am. 2022;17:100406.

Brasil. Ministério da Saúde. Definição de caso de Monkeypox. 2022 [cited on 2023 Jun 10]. Available from:

Mitjà O, Ogoina D, Titanji BK, Galvan C, Muyembe JJ, Marks M. et al. Monkeypox. Lancet. 2023;401(10370):60-74.

Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D, et al. The CARE guidelines: consensus-based clinical case reporting guideline development. Glob Adv Health Med. 2013;2(5):38-43.

Agência Nacional de Vigilância Sanitária. Nota técnica GVIMS/GGTES/ANVISA no 03/2022. Orientações para prevenção e controle da monkeypox nos serviços de saúde. Brasília: ANVISA; 2022 [cited on 2023 Jun 10]. Available from:

Peiró-Mestres A, Fuertes I, Camprubí-Ferrer D, Marcos MA, Vilella A, Navarro M, et al. Frequent detection of monkeypox virus DNA in saliva, semen, and other clinical samples from 12 patients, Barcelona, Spain, May to June 2022. Euro Surveill. 2022;27(28):2200503.

Ortiz-Martínez Y, Zambrano-Sanchez G, Rodríguez-Morales AJ. Monkeypox and HIV/AIDS: when the outbreak faces the epidemic. Int J STD AIDS. 2022;33(10):949-50.

Altindis M, Puca E, Shapo L. Diagnosis of monkeypox virus – an overview. Travel Med Infect Dis. 2022;50:102459.

Perazzo H, Silva MST, Coutinho C, Peixoto EM, Silva SCC, Cardoso SW, et al. Monkeypox outbreak as an opportunity to identify new cases of HCV infection in limited resource settings. J Viral Hepat. 2023;30(1):83-5.

Bragazzi NL, Khamisy-Farah R, Tsigalou C, Mahroum N, Converti M. Attaching a stigma to the LGBTQI+ community should be avoided during the monkeypox epidemic. J Med Virol. 2023;95(1):e27913.

Khani E, Afsharirad B, Entezari-Maleki T. Monkeypox treatment: current evidence and future perspectives. J Med Virol. 2023;95(1):e28229.

Schneider KA, Eichner M. Does it matter who is spreading monkeypox? Lancet Infect Dis. 2022;22(9):1266-7.

Lewis A, Josiowicz A, Riade SMH, Tous M, Palacios G, Cisterna DM. Introduction and differential diagnosis of monkeypox in Argentina, 2022. Emerg Infect Dis. 2022;28(10):2123-5.

Morais JSS, Salles RS, Coêlho ICB. Monkeypox: a new epidemic threat with behavioral components of physical intimacy? DST J Bras Doenças Sex Transm. 2022;34:e22341205.

Bunge EM, Hoet B, Chen L, Lienert F, Weidenthaler H, Baer LR, et al. The changing epidemiology of human monkeypox-A potential threat? A systematic review. PLoS Negl Trop Dis. 2022;16(2):e0010141.

Martins-Filho PR, Nicolino RR, Silva, K. Incidence, geographic distribution, clinical characteristics, and socioeconomic and demographic determinants of monkeypox in Brazil: A nationwide population-based ecological study. Travel Med Infect Dis. 2023;52:102517.

Goldim JR, Fleck MP. Ética e publicação de relatos de caso individuais. Rev Bras Psiquiatr. 2010;32(1):1-3.




How to Cite

Arze WNC, Silva IA da, Andrade HB, Goulart AGAF, Goulart Filho R de A, Morais JS de S, et al. Mpox transmitted through sexual intercourse: three case reports. DST [Internet]. 2023 Aug. 29 [cited 2024 Jul. 12];35. Available from:



Case Report