Table 2.

The index patient's medical visit history during the symptomatic period

Visit date	Type of healthcare facility	Symptoms and observed status	Differential diagnosis
Nov 8	Hospital (emergency room A)	Chill, dizziness, dyspnea	-
Nov 8	Clinic (dentistry)	Regular checkup (braces)	-
Nov 10	Clinic (obstetrics and gynecology A)	Dysuria	Cystitis
Nov 10	Clinic (otolaryngology)	Fever, chill, dizziness	COVID-19
Nov 11	Clinic (proctology)	Anal pain, anal bleeding, constipation	Herpes simplex virus infection
			Varicella zoster virus infection
Nov 11	Clinic (obstetrics and gynecology B)	Anogenital lesions, vaginal discharge, dysuria, anal pain, night sweat	Herpes simplex virus infection
Nov 13	Hospital (emergency room B)	Skin and mucosal lesions (face, tongue, chin, chest, back, shoulder, labium major, anus), fever, sore throat, anal pain	Mpox