Evidence map›Paper›PMID 36992376›Full record

Observational studyViruses2023

Human Monkeypox Experience in a Tertiary Level Hospital in Milan, Italy, between May and October 2022: Epidemiological Features and Clinical Characteristics.

Caterina Candela, Angelo Roberto Raccagni, Elena Bruzzesi, Costanza Bertoni, Alberto Rizzo, Gloria Gagliardi, Diana Canetti, Nicola Gianotti, Davide Mileto, Maria Rita Gismondo and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Rethinking mpox: epidemiology, clinical variants, diagnosis, and response.Osong public health and research perspectives · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Proctitis and Other Gastrointestinal Manifestations in Mpox Disease: A Systematic Review and Meta-Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Mpox (formerly monkeypox): pathogenesis, prevention, and treatment.Signal transduction and targeted therapy · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Caterina CandelaInfectious and Tropical Diseases Department, Vita-Salute San Raffaele University, 20127 Milan, Italy.ORCID 0000-0001-8163-3130
Angelo Roberto RaccagniInfectious and Tropical Diseases Department, Vita-Salute San Raffaele University, 20127 Milan, Italy.ORCID 0000-0001-7811-6255
Elena BruzzesiInfectious and Tropical Diseases Department, Vita-Salute San Raffaele University, 20127 Milan, Italy.ORCID 0000-0002-3601-7686
Costanza BertoniInfectious and Tropical Diseases Department, Vita-Salute San Raffaele University, 20127 Milan, Italy.
Alberto RizzoLaboratory of Clinical Microbiology, Virology and Bioemergencies, Sacco Hospital, 20900 Milan, Italy.ORCID 0000-0001-5999-006X
Gloria GagliardiLaboratory of Clinical Microbiology, Virology and Bioemergencies, Sacco Hospital, 20900 Milan, Italy.
Diana CanettiInfectious Diseases Unit, IRCCS San Raffaele Scientific Institute, 20097 Milan, Italy.
Nicola GianottiInfectious Diseases Unit, IRCCS San Raffaele Scientific Institute, 20097 Milan, Italy.
Davide MiletoLaboratory of Clinical Microbiology, Virology and Bioemergencies, Sacco Hospital, 20900 Milan, Italy.ORCID 0000-0002-9414-0287
Maria Rita GismondoLaboratory of Clinical Microbiology, Virology and Bioemergencies, Sacco Hospital, 20900 Milan, Italy.
Antonella CastagnaInfectious and Tropical Diseases Department, Vita-Salute San Raffaele University, 20127 Milan, Italy.
Silvia NozzaInfectious and Tropical Diseases Department, Vita-Salute San Raffaele University, 20127 Milan, Italy.
Centro San Luigi (CSL) Working Group
Vita-Salute San Raffaele University · ITLuigi Sacco Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

methodsAmong people who accessed our Sexual Health Clinic, we considered, as suspected diagnosis of mpox, individuals with consistent symptoms and epidemiological criteria. Following the physical examination, oropharyngeal, anal, genital and cutaneous swabs, plus plasma, urine and seminal fluid were collected as biological materials to detect mpxv DNA. We also performed a screening for sexually transmitted infections (STIs).

resultsOverall, 140 individuals with mpox were included in this study. Median age was 37 (interquartile, IQR 33, 43) years old. Males were 137 (98%) and men who have sex with men (MSM) were 134 (96%). As risk factors, we detected travels abroad in 35 (25%) individuals and close contact with mpox cases in 49 (35%). There were 66 (47%) people living with HIV (PLWH). Most frequent symptoms were fever (59%), lymphadenopathy (57%), cutaneous (77%), genital (42%), anal (34%) and oral (26%) lesions, proctitis (39%), sore throat (22%) and generalized rash (5%). At mpox diagnosis, we also observed

conclusionsSimilarly to other international cohorts, sexual transmission was most frequently present, and concomitant STIs were common. Symptoms were heterogenous, self-resolving and responsive to therapy. Hospitalization was necessary in few patients. There is uncertainty about the future development of mpox and further studies (e.g., potential disease reservoirs, other possible means of transmission, predictors of severe disease) are still needed.

Indexed as

HIV InfectionsMpox, MonkeypoxSexual and Gender MinoritiesAdultHomosexuality, MaleHumansItalyMaleTertiary Care Centersglobal outbreakmen who have sex with menMonkeypox virusmpox infectionsexually transmitted infections

Identifiers

PMID36992376
PMCPMC10051371
OpenAlexW4322770357

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.