FLORENCE, MAY 23 – First case of monkeypox in Tuscany, the fourth in Italy: a 32-year-old man who has returned from a holiday in the Canary Islands is admitted to the San Donato hospital in Arezzo. This is what we read in a note released by the ASL Toscana Sud Est in which we read that “The Company and the National Institute of Spallanzani in Rome inform that a 32-year-old man from Arezzo returned in recent days from a holiday in the Canary Islands tested positive for monkeypox, and is hospitalized in the Infectious Diseases department of the San Donato hospital. It is a person who returned to Italy on 15 May who quickly presented the symptoms of the disease ”. The ASL explains that the 32-year-old, “in the days between 15 and 20 May had no contact with his family, as the man lives alone. On May 20, he went to see his GP who referred him to infectious disease clinics “: he was” immediately taken in charge by the doctors of the ward as he had skin lesions suggestive of the infection “. The Spallanzani Institute was thus contacted “both for an opinion on the lesions, confirming the clinical suspicion placed in Arezzo as they were similar to those of the 3 patients hospitalized by them, and for sending samples for laboratory confirmation” . The swabs were sent on May 21 to the Spallanzani virology laboratory and “the following day – continues the Local Health Authority – the positivity of all the samples examined was communicated”. At the same time, the ASL prevention service “has taken steps to identify all the contacts of the person who have been reached and for which a surveillance on the onset of symptoms is planned for the next 21 days. Symptoms and signs to look out for are skin lesions (vesicles and pustules), fever, malaise and swollen lymph nodes “. (HANDLE).