A 36-year-old man in Italy appears to be the world's first documented case of being diagnosed with COVID-19, monkeypox, and HIV at the same time.
His COVID-19 and monkeypox infections have cleared up without any issues, and he has been placed on HIV treatment.
In the case report, infectious disease doctors in Italy described how the man first became sick with a fever, sore throat, andon June 29, which was 9 days after he returned from a 5-day trip to Spain. On July 2, he tested positive for COVID-19, and he noticed a rash on his left arm later that afternoon.
Based on the symptoms and recent travel to Spain, the doctors suspected the patient had also gotten monkeypox, and they collected samples for testing. The man said that while in Spain, he had unprotected sex with other men, which has been a risk factor for monkeypox during the current outbreak. On July 6, he tested positive for monkeypox, HIV, and COVID-19 — specifically, the BA.5.1 Omicron variant.
The patient told doctors that he tested negative for HIV in September 2021. His CD4 lymphocyte count, or a test that measures how many of these white blood cells are in the blood, was still normal at the time of the positive test in July. This means he may have contracted HIV recently as well.
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