Evidence map›Paper›PMID 36028090›Full record

Observational studyClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2023

Clinical characteristics of ambulatory and hospitalized patients with monkeypox virus infection: an observational cohort study.

Morgane Mailhe, Anne-Lise Beaumont, Michael Thy, Diane Le Pluart, Ségolène Perrineau, Nadhira Houhou-Fidouh, Laurène Deconinck, Chloé Bertin, Valentine Marie Ferré, Marie Cortier and 12 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 9 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 9 syntheses or guidelines pooled it, 187 citations in OpenAlex.

  1. Pooled it
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  8. The use of antivirals in the treatment of human monkeypox outbreaks: a systematic review.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Pooled it
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  10. Mpox: clinical patterns and implications for epidemic management - a cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
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  15. From neglected to notoriety: a review of Mpox clinical features, virology, epidemiology, treatment and prevention strategies.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
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  18. Clinical Characterization and Outcomes of Human Clade IIb Mpox Virus Disease: A European Multicenter Mpox Observational Cohort Study (MOSAIC).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Observational
  19. Review
  20. Review

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 1 institution in 1 country.

Morgane MailheInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Anne-Lise BeaumontInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France. Electronic address: annelisebeaumont@gmail.com.
Michael ThyInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Diane Le PluartInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Ségolène PerrineauInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Nadhira Houhou-FidouhVirology Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Laurène DeconinckInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Chloé BertinInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Valentine Marie FerréVirology Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Marie CortierInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Clémentine De La Porte Des VauxInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Bao-Chau PhungInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Bastien MolloInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Mélanie CrestaInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Fabrice BouscaratDermatology Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Christophe ChoquetEmergency Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Diane DescampsVirology Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, INSERM, IAME, Paris, France.
Jade GhosnInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, INSERM, IAME, Paris, France.
François-Xavier LescureInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, INSERM, IAME, Paris, France.
Yazdan YazdanpanahInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, INSERM, IAME, Paris, France.
Véronique JolyInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, INSERM, IAME, Paris, France.
Nathan Peiffer-SmadjaInfectious and Tropical Diseases Department, Bichat - Claude Bernard Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, INSERM, IAME, Paris, France.
Université Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA global outbreak of monkeypox virus infections in human beings has been described since April 2022. The objectives of this study were to describe the clinical characteristics and complications of patients with a monkeypox infection.

methodsAll consecutive patients with a polymerase chain reaction (PCR)-confirmed monkeypox infection seen in a French referral centre were included.

resultsBetween 21 May and 5 July 2022, 264 patients had a PCR-confirmed monkeypox infection. Among them, 262 (262/264, 99%) were men, 245 (245/259, 95%) were men who have sex with men, and 90 (90/216, 42%) practiced chemsex in the last 3 months. Seventy-three (73/256, 29%) patients were living with human immunodeficiency virus infection, and 120 (120/169, 71%) patients were taking pre-exposure prophylaxis against human immunodeficiency virus infection. Overall, 112 (112/236, 47%) patients had contact with a confirmed monkeypox case; it was of sexual nature for 95% of the contacts (86/91). Monkeypox virus PCR was positive on the skin in 252 patients, on the oropharyngeal sample in 150 patients, and on blood in eight patients. The majority of patients presented with fever (171/253, 68%) and adenopathy (174/251, 69%). Skin lesions mostly affected the genital (135/252, 54%) and perianal (100/251, 40%) areas. Overall, 17 (17/264, 6%) patients were hospitalized; none of them were immunocompromised. Complications requiring hospitalization included cellulitis (n = 4), paronychia (n = 3), severe anal and digestive involvement (n = 4), non-cardia angina with dysphagia (n = 4), blepharitis (n = 1), and keratitis (n = 1). Surgical management was required in four patients.

conclusionThe current outbreak of monkeypox infections has specific characteristics: it occurs in the men who have sex with men community; known contact is mostly sexual; perineal and anal areas are frequently affected; and severe complications include superinfected skin lesions, paronychia, cellulitis, anal and digestive involvement, angina with dysphagia, and ocular involvement.

Indexed as

Deglutition DisordersMpox, MonkeypoxParonychiaSexual and Gender MinoritiesCellulitisCohort StudiesFemaleHomosexuality, MaleHumansMaleMonkeypox virusComplicationsDisease attributesEmerging communicable diseasesMonkeypoxSkin diseases

Identifiers

PMID36028090
PMCPMC9533921
OpenAlexW4292787050

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.