@article{5202e9a6137a463b838eccd5492683da,
title = "Severe Mpox Infections in People with Uncontrolled Human Immunodeficiency Virus",
abstract = "In the current mpox outbreak, infections are usually self-limited. We describe 3 patients with uncontrolled HIV and mpox infections lasting months, causing debilitating lesions, complications, and death, despite initiating anti-mpox and antiretroviral therapy. Delayed treatment of mpox with antiviral agents may contribute to poor outcomes in severely immunocompromised patients.",
keywords = "HIV, cytokine storm, death, immunocompromised, mpox",
author = "Anusha Govind and Lazarte, {Susana M.} and Ellen Kitchell and Chow, {Jeremy Y.} and Estelle, {Carolee D} and Emma Fixsen and Caitlin Helm and Jain, {Mamta K.} and Roma Mehta and Perl, {Trish M.} and Sutaria, {Jaini M.} and Cristina Thomas and Dominguez, {Arturo R.} and Utay, {Netanya S.}",
note = "Funding Information: Written informed consent was obtained from the patient for publication of his photographs. The authors thank Esther Bae, Norman Mang, Azadeh Mozaffari, Jessica Ortwine, James Sanders, Wenjing Wei, and all the clinicians, nurses, microbiology laboratory staff, and other healthcare staff who cared for these patients. The authors appreciate all the assistance that Kesha Ambrose and Amy Forrester from Dallas County Health and Human Services, Michael P. Fischer from Texas Department of State Health Services, and the CDC{\textquoteright}s Mpox Clinical Escalations Team provided in treating the patient. The authors also thank the University of Washington virology lab for performing the cerebrospinal fluid mpox PCR. This work was supported by the Department of Internal Medicine, University of Texas Southwestern Medical Center. Funding Information: Financial support. This work was supported by the Department of Internal Medicine, University of Texas Southwestern Medical Center. Publisher Copyright: {\textcopyright} The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved.",
year = "2023",
month = may,
day = "15",
doi = "10.1093/cid/ciad052",
language = "English (US)",
volume = "76",
pages = "1843--1846",
journal = "Clinical Infectious Diseases",
issn = "1058-4838",
publisher = "Oxford University Press",
number = "10",
}