{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T22:18:21Z","timestamp":1781907501856,"version":"3.54.5"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100017590","name":"Universit\u00e4tsklinikum Essen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100017590","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Infection"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Monkeypox (MPOX) is becoming an important differential diagnosis in non-endemic regions, particularly in patients with atypical dermatologic lesions and systemic symptoms. Although it is more commonly associated with males, it is important to consider MPOX in females, as its presentation may be misattributed to more common infections. This article describes a 28-year-old heterosexual female with cutaneous lesions and systemic symptoms that were initially thought to be a localized infection. Further evaluation confirmed MPOX with a bacterial superinfection. The patient had no sexual but close contact with a confirmed case of MPOX. Clinicians must remain vigilant to recognize the broad spectrum of MPOX presentations and ensure timely diagnosis, isolation, and preventive measures to limit transmission.<\/jats:p>","DOI":"10.1007\/s15010-025-02550-8","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:11:20Z","timestamp":1747368680000},"page":"2257-2259","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Unusual case of non-sexual Mpox transmission in a heterosexual woman"],"prefix":"10.1007","volume":"53","author":[{"given":"Marc","family":"Biller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Lais","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Esser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Sammet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"2550_CR1","doi-asserted-by":"publisher","unstructured":"Hoffmann C, Jessen H, Teichmann J, Wyen C, Noe S, Kreckel P, K\u00f6ppe S, Krauss AS, Schuler C, Bickel M, Lenz J, Scholten S, Klausen G, Lindhof HH, Jensen B, Glaunsinger T, Pauli R, H\u00e4rter G, Radke B, Unger S, Marquardt S, Masuhr A, Esser S, Flettner TO, Sch\u00e4fer G, Schneider J, Spinner CD, Boesecke C. Monkeypox in Germany\u2014initial clinical observations. Dtsch Arztebl Int 2022; 119. https:\/\/doi.org\/10.3238\/arztebl.m2022.0287","DOI":"10.3238\/arztebl.m2022.0287"},{"issue":"1","key":"2550_CR2","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.jviromet.2010.07.012","volume":"169","author":"Y Li","year":"2010","unstructured":"Li Y, Zhao H, Wilkins K, Hughes C, Damon IK. Real-time PCR assays for the specific detection of Monkeypox virus West African and congo basin strain DNA. J Virol Methods. 2010;169(1):223\u20137. https:\/\/doi.org\/10.1016\/j.jviromet.2010.07.012. Epub 2010 Jul 17. PMID: 20643162; PMCID: PMC9628942.","journal-title":"J Virol Methods"},{"issue":"1","key":"2550_CR3","doi-asserted-by":"publisher","first-page":"9","DOI":"10.15585\/mmwr.mm7201a2","volume":"72","author":"LP Oakley","year":"2023","unstructured":"Oakley LP, Hufstetler K, O\u2019Shea J, Sharpe JD, McArdle C, Neelam V, Roth NM, Olsen EO, Wolf M, Pao LZ, Gold JAW, Davis KM, Perella D, Epstein S, Lash MK, Samson O, Pavlick J, Feldpausch A, Wallace J, Nambiar A, Ngo V, Halai UA, Richardson CW, Fowler T, Taylor BP, Chou J, Brandon L, Devasia R, Ricketts EK, Stockdale C, Roskosky M, Ostadkar R, Vang Y, Galang RR, Perkins K, Taylor M, Choi MJ, Weidle PJ, Dawson P, Ellington S, CDC Mpox Analytics Team. Mpox cases among cisgender women and pregnant Persons - United States, May 11-November 7, 2022. MMWR Morb Mortal Wkly Rep. 2023;72(1):9\u201314. https:\/\/doi.org\/10.15585\/mmwr.mm7201a2. PMID: 36602932; PMCID: PMC9815154.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"32","key":"2550_CR4","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.15585\/mmwr.mm7132e3","volume":"71","author":"D Philpott","year":"2022","unstructured":"Philpott D, Hughes CM, Alroy KA, Kerins JL, Pavlick J, Asbel L, Crawley A, Newman AP, Spencer H, Feldpausch A, Cogswell K, Davis KR, Chen J, Henderson T, Murphy K, Barnes M, Hopkins B, Fill MA, Mangla AT, Perella D, Barnes A, Hughes S, Griffith J, Berns AL, Milroy L, Blake H, Sievers MM, Marzan-Rodriguez M, Tori M, Black SR, Kopping E, Ruberto I, Maxted A, Sharma A, Tarter K, Jones SA, White B, Chatelain R, Russo M, Gillani S, Bornstein E, White SL, Johnson SA, Ortega E, Saathoff-Huber L, Syed A, Wills A, Anderson BJ, Oster AM, Christie A, McQuiston J, McCollum AM, Rao AK, Negr\u00f3n ME. CDC multinational Monkeypox response team. Epidemiologic and clinical characteristics of Monkeypox Cases - United States, May 17-July 22, 2022. MMWR Morb Mortal Wkly Rep. 2022;71(32):1018\u201322. https:\/\/doi.org\/10.15585\/mmwr.mm7132e3. PMID: 35951487; PMCID: PMC9400536.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"10367","key":"2550_CR5","doi-asserted-by":"publisher","first-page":"1953","DOI":"10.1016\/S0140-6736(22)02187-0","volume":"400","author":"JP Thornhill","year":"2022","unstructured":"Thornhill JP, Palich R, Ghosn J, Walmsley S, Moschese D, Cortes CP, Galliez RM, Garlin AB, Nozza S, Mitja O, Radix AE, Blanco JL, Crabtree-Ramirez B, Thompson M, Wiese L, Schulbin H, Levcovich A, Falcone M, Lucchini A, Sendagorta E, Treutiger CJ, Byrne R, Coyne K, Meyerowitz EA, Grahn AM, Hansen AE, Pourcher V, DellaPiazza M, Lee R, Stoeckle M, Hazra A, Apea V, Rubenstein E, Jones J, Wilkin A, Ganesan A, Henao-Mart\u00ednez AF, Chow EJ, Titanji BK, Zucker JE, Ogoina D, Orkin CM. Share-Net writing group. Human Monkeypox virus infection in women and non-binary individuals during the 2022 outbreaks: a global case series. Lancet. 2022;400(10367):1953\u201365. https:\/\/doi.org\/10.1016\/S0140-6736(22)02187-0. Epub 2022 Nov 17. PMID: 36403584; PMCID: PMC9671743.","journal-title":"Lancet"}],"container-title":["Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s15010-025-02550-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s15010-025-02550-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s15010-025-02550-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:02:28Z","timestamp":1761609748000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s15010-025-02550-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,16]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["2550"],"URL":"https:\/\/doi.org\/10.1007\/s15010-025-02550-8","relation":{},"ISSN":["0300-8126","1439-0973"],"issn-type":[{"value":"0300-8126","type":"print"},{"value":"1439-0973","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,16]]},"assertion":[{"value":"21 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of the clinical images presented in this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}