Healed secondary facial lesion

Healed secondary facial lesion in a 30-year-old cisgender man with HMPX, imaged at lesion day 12.

Located on the superior nasal bridge is a healed lesion with minimal scarring. This lesion appeared as part of a secondary crop of lesions on illness day 7 and initially presented as a 1-2-mm papule with a small diameter of poorly demarcated erythema. It was associated with nontender cervical lymphadenopathy.

There was no history of immunocompromising conditions or medications.  This man was on Truvada for HIV pre-exposure prophylaxis. He also received Imvamune for HMPX pre-exposure prophylaxis 3 days before illness onset.