Monkeypox Patients Sometimes Experience Rectum Pain Suspected Of Being Hemorrhoids

JAKARTA - Expert from the Dermatology and Venerology Medical Staff Group of Dr. Cipto Mangunkusumo Hospital, Dr. Hanny Nilasari, Sp.D.V.E., Subsp. Ven, FINSDV, FAADV said monkeypox patients sometimes complain of redness in periaus accompanied by rectum pain which is usually suspected of being hemorrhoided.

"Reports related to Mpox Proctitis are in the form of a perianus ethythm accompanied by severe rectum pain and fever, this is generally reported as a complication," he said in a webinar held by RSCM and FKUI as reported by ANTARA, Thursday, November 2.

Mpox's proctitis is inflammation of the rectum layer which can be short-term or long-term, due to Mpox or monkeypox.

This means, continued Hanny, monkeypox is not only found in the skin but also in the anus and perianus areas or areas around the entry of anus holes to the anus realm which sometimes escapes examination.

Speaking of symptoms, usually headaches are followed by fever and sore throat and enlargement of lymph nodes. This fever is generally more than 38 degrees Celsius, followed by a rash after a day or three.

The appearance of a rash is in the form of a small number of red rashes, spread regionally, meaning for example in the arm area, then in the genital area, leg and others.

"The rash distribution starts from the area of the head, denser in the face area and limbs, it can also appear in the palm area and the soles of the feet," said Hanny.

This column is then followed by lennes and bintiles with pus on it and then a keropeng appears. At the time of the transition from rash to pusce, patients generally experience subjective symptoms in the form of pain or itching, then when there is a keropeng, generally the itching taste is felt.

In addition to the anus and perianus, abnormalities can also appear in oral and perioral areas, lesions in the genital area.

Then, in line with Hanny, in the same webinar, an internal medicine specialist from Dr. Hospital. Cipto Mangunkusumo Dr. Robert Sinto, Sp.PD, K-PTI also said monkeypox can also be found in other organs such as respiratory tracts and the central nervous system.

"So this is a systemic disease of infection, which is not only localized in the skin. That's why the approach must be multidisciplinary, involving various sciences," he said.

Robert refers to data stating that in confirmed cases, the virus that causes Mpox or Monkeypox can also be found in the lungs so that this disease is said to be systemic, especially in those who are immunodeficient.