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KEY POINTS A previously healthy 33-year-old man presented to an ambulatory clinic with rectal pain and a pustular rash involving the face, extremities and torso. Twenty-one days before presentation (day 0), he had unprotected, receptive orogenital and oroanal intercourse with a new, anonymous male

Central african republicUnited statesCentral africanSharon walmsleyPublic health ontario laboratoryNational advisory committee on immunizationNational emergency strategicNational microbiology laboratoryHealth canadaNational medical laboratoryWorld health networkPublic health ontarioNational microbiologyWest africanNorth americaNational advisory committee