Evidence map›Paper›PMID 37089133›Full record

ReviewF1000Research2023

Monkeypox (mpox) in immunosuppressed patients.

Sirwan Khalid Ahmed, Mona Gamal Mohamed, Eman Abdelaziz Dabou, Israa Abuijlan, Deepak Chandran, Nahed A El-Shall, Hitesh Chopra, Kuldeep Dhama

Open access · goldAbstract readReview
In one paragraph

Review in F1000Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
3.8field-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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Current infectious disease management challenges in inborn errors of immunity.Annals of clinical microbiology and antimicrobials · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Mpox and cancer: Dual dangers.Medical journal, Armed Forces India · 2025
    Article
  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

8 authors at 6 institutions in 4 countries.

Sirwan Khalid AhmedDepartment of Pediatrics, Rania Pediatric & Maternity Teaching Hospital, Rania, Sulaymaniyah, Kurdistan Region, 46012, Iraq.ORCID 0000-0002-8361-0546
Mona Gamal MohamedRAK College of Nursing, RAK Medical and Health Sciences University, Ras Al Khiamah, United Arab Emirates.ORCID 0000-0002-7041-444X
Eman Abdelaziz DabouRAK College of Nursing, RAK Medical and Health Sciences University, Ras Al Khiamah, United Arab Emirates.
Israa AbuijlanRAK College of Nursing, RAK Medical and Health Sciences University, Ras Al Khiamah, United Arab Emirates.
Deepak ChandranDepartment of Veterinary Sciences and Animal Husbandry, Amrita School of Agricultural Sciences, Amrita Vishwa Vidyapeetham University, Coimbatore, Tamil Nadu, 642109, India.ORCID 0000-0002-9873-6969
Nahed A El-ShallDepartment of Poultry and Fish Diseases, Faculty of Veterinary Medicine, Alexandria University, Edfina, El-Beheira, 22758, Egypt.
Hitesh ChopraChitkara College of Pharmacy, Chitkara University, Punjab, 140401, India.
Kuldeep DhamaDivision of Pathology, ICAR-Indian Veterinary Research Institute, Bareilly, Uttar Pradesh, 243122, India.ORCID 0000-0001-7469-4752
Ras al-Khaimah Medical and Health Sciences University · AEAlexandria University · EGAmrita Vishwa Vidyapeetham · INChitkara University · INIndian Veterinary Research Institute · INUniversity of Raparin · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organization (WHO) proclaimed a public health emergency in July 2022 due to the emergence of Mpox (formerly monkeypox) while the globe was still dealing with the COVID-19 epidemic. The characteristics of mpox in immunocompetent individuals are well-characterized, despite difficulties in diagnostics, immunization, and access to treatment that persist in low-income countries. Patients with weakened immune systems are more likely to spread an illness and die from it than healthy people because they cannot mount a protective immune response against it, such as a neutralizing IgG and poxvirus-specific Th1 response. A health warning on severe mpox in people who are immunocompromised due to Human Immunodeficiency virus (HIV) and other illnesses was released by the U.S. Centers for Disease Control and Prevention (CDC) on September 29, 2022. The advice does not specifically include primary immunodeficiency, but it does define other immunocompromising disorders as "having autoimmune disease with immunodeficiency as a clinical component". Both those with healthy immune systems and those with weakened immune systems, such as those who are immunosuppressed, older people, children, etc., have encountered serious health issues, but the latter group is more likely to do so. According to the advisory, "of the people with severe mpox manifestations for whom CDC has been consulted, the majority have had HIV with CD4 counts 200 cells/ml, indicating substantial immunosuppression". However, new cases are still expected to be discovered, especially in low-income countries with limited access to diagnosis, treatment, and prevention, and where a large percentage of the mpox-infected population also has advanced HIV infection. Thus, further research is always needed to determine the best way to treat mpox in immunocompromised people. In this context, we discussed /reviewed the mpox clinical presentation, available treatment options and current preventive guidelines in immunocompromised patients.

Indexed as

COVID-19HIV InfectionsMpox, MonkeypoxAgedChildHumansImmunocompromised HostImmunosuppression TherapyUnited Statesautoimmune diseasecontrolhuman immunodeficiency virusimmunocompromised patientsmanagementmonkeypoxprevention

Identifiers

PMID37089133
PMCPMC10113800
OpenAlexW4318981690

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.