Well, just saw my first case of monkeypox in a 14-year-old boy this week. Went to an Urgent Care center with the skin lesions. Essentially no other symptoms. No idea where he got it, but he is a 14-year-old boy and just may have not answered completely honestly to some of the risk factor questions.
We unroofed a few lesions and swabbed the base of them; swabs were sent off to the Health Department for PCR testing and came back positive, so it's not just a clinical diagnosis.
We will see how many others show up in the next few weeks...
"We are not provided with wisdom, we must discover it for ourselves, after a journey through the wilderness which no one else can take for us, an effort which no one can spare us, for our wisdom is the point of view from which we come at last to regard the world." --M. Proust