Is there a role for magnetic resonance imaging for assessing anal pain in patients with monkeypox?

Abstract 30 years-old man with no skin lesions at physical exam, referred severe anal pain for 4 days. Rectal swab was positive for Monkeypox, and proctitis was diagnosed, with anorectal abscesses only characterized in magnetic resonance imaging. This is the first description of clinical and imaging presentation of anorectal disease related to Monkeypox virus infection in an unusual presentation without the typical cutaneous rash and presenting complicated anorectal abscesses.