Abstract
A 24-year-old man presented to our clinic reporting severe anal pain and a pustular rash on his trunk, arms, penis, and fingers. The patient said the pain started 3 days after he had condomless penetrative and receptive anal intercourse with a man; he then developed a fever, chills, and inguinal lymphadenopathy. The skin lesions appeared approximately 8 days after the sexual activity: 2 days before he attended our clinic. The patient was previously fit and well with no medical history.
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