Papulo-Vesicular Rash Revealing Monkeypox in Immunocompetant Children : About Two Cases at University Teaching Hospital of Bouake

Introduction: Due to the similarity of clinical manifestations with tropical diseases, data onpediatric monkeypox are limited. Based on two clinical cases, we illustrate the diagnostic difficulties of the disease in our context of a country with a high endemicity of febrileillnesses. The objective of these observations is to contribute to the improvement of clinical practice.

Cases report: These are two children who presented with a rash after an influenza-like illness requiring treatment for malaria. This eruption was assimilated to chickenpox, but epidemiological doubts led to the performance of additional examinations. The RT-PCR performed on a dry swab by rubbing several vesicles and the throats wabproved positive for Monkeypox Virus (MPXV). Management consisted of isolation and symptomatic treatment. The evolution was favorable.

Conclusion: despite the epidemiological change in Monkeypox cases, these observations show that the disease can develop in children. Clinicians should be alert for an unusual rash associated withflu-like illness.

Mots-clés: Monkeypox, Children, papulo-vesicular rash, Bouaké.