Table 2.

Atypical pictures of the current monkeypox outbreak, 2022.

Epidemiology
●Absence of epidemiological links to traveling to endemic countries
●Outbreak in non-endemic countries
●Sexual transmission via semen/vaginal fluids (uncertain)
Prodromal symptom
●Appearance of rashes before the onset of fever, malaise, and other constitutional symptoms or even absence of a prodromal period
Skin lesions
●Limited skin lesions or the absence of skin lesions
●Mostly located in genital and perianal sites
●No further spread from genital or perineal/perianal lesions
●Asynchronous lesions, ranging from single or clustered spot to umbilicated papule with progressive central ulceration, and, finally, to scabs
●Appearance of herald skin lesions at sexual contact points