{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:27Z","timestamp":1787755767118,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 50-year-old man with HIV presented with an isolated dorsal index finger abscess. He underwent incision and debridement, but no pus was encountered. Surgical pathology demonstrated pox virus features. He then developed body pustules confirmed as monkeypox through polymerase chain reaction. The surgical wound deteriorated, prompting a second debridement of necrotic skin. Vesicles consistent with viral infection then appeared. The finger healed with local wound care within 3 months, achieving excellent function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case illustrates an uncommon presentation of monkeypox, resembling a bacterial infection before vesiculation. Early recognition of monkeypox is critical to avoid unnecessary surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00026","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T14:00:26Z","timestamp":1749736826000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Monkeypox Presenting as an Isolated Finger Infection"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4215-2778","authenticated-orcid":false,"given":"Yasmine","family":"Soubra","sequence":"first","affiliation":[{"name":"Texas A&M College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anirudh","family":"Sudarshan","sequence":"additional","affiliation":[{"name":"University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda C.","family":"Seymour","sequence":"additional","affiliation":[{"name":"University of Texas at Austin Dell Medical School, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-8268","authenticated-orcid":false,"given":"Brent M.","family":"Egeland","sequence":"additional","affiliation":[{"name":"Division of Plastic and Hand Surgery, Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5160-5307","authenticated-orcid":false,"given":"Steven L.","family":"Henry","sequence":"additional","affiliation":[{"name":"Division of Plastic and Hand Surgery, Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4]]},"reference":[{"issue":"1","key":"bib1-20250612","doi-asserted-by":"crossref","first-page":"2600","DOI":"10.1080\/22221751.2022.2132882","article-title":"Comprehensive literature review of monkeypox","volume":"11","author":"Hatmal","year":"2022","journal-title":"Emerg Microbes Infect."},{"issue":"1","key":"bib2-20250612","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1038\/s41392-022-01215-4","article-title":"Monkeypox: epidemiology, pathogenesis, treatment and prevention","volume":"7","author":"Huang","year":"2022","journal-title":"Signal Transduct Target Ther."},{"issue":"32","key":"bib3-20250612","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.15585\/mmwr.mm7132e3","article-title":"Epidemiologic and clinical characteristics of monkeypox cases - United States, May 17-July 22, 2022","volume":"71","author":"Philpott","year":"2022","journal-title":"MMWR Morb Mortal Wkly Rep."},{"issue":"11","key":"bib4-20250612","doi-asserted-by":"crossref","first-page":"e101","DOI":"10.1016\/S2213-2600(22)00386-1","article-title":"Monkeypox transmission-what we know so far","volume":"10","author":"Venkatesan","year":"2022","journal-title":"Lancet Respir Med."},{"key":"bib5-20250612","doi-asserted-by":"crossref","first-page":"1174223","DOI":"10.3389\/fimmu.2023.1174223","article-title":"Global transmission of monkeypox virus-a potential threat under the COVID-19 pandemic","volume":"14","author":"Wang","year":"2023","journal-title":"Front Immunol."},{"issue":"6","key":"bib6-20250612","doi-asserted-by":"crossref","first-page":"NP1","DOI":"10.1177\/15589447231177098","article-title":"Monkeypox presenting as a hand consult in the emergency department: two case reports","volume":"18","author":"Mitchell","year":"2023","journal-title":"Hand (N Y)."},{"key":"bib7-20250612","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.jdcr.2022.08.034","article-title":"Eczema monkeypoxicum: report of monkeypox transmission in a patient with atopic dermatitis","volume":"29","author":"Xia","year":"2022","journal-title":"JAAD Case Rep."},{"issue":"1","key":"bib8-20250612","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.clindermatol.2016.09.006","article-title":"Acral manifestations of viral infections","volume":"35","author":"Ad\u0131\u015fen","year":"2017","journal-title":"Clin Dermatol."},{"issue":"2","key":"bib9-20250612","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.ocl.2016.12.013","article-title":"Atypical hand infections","volume":"48","author":"Chan","year":"2017","journal-title":"Orthop Clin North Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:50:47Z","timestamp":1787752247000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00026"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00026","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}