Evidence map›Paper›PMID 40505032›Full record

ArticleCritical care explorations2025

A Fatal Case of Monkeypox-Associated Encephalitis in a Non-HIV-Infected Patient.

Cristina Lopez, Rafael Sanchez-Sanchez, Diana Corona, Ana Belen Perez, Francisco Bravo, Maria de Alba, Antonio Bracero, Cristina Cazorla, Ana Vázquez, Maria Paz Sánchez-Seco and 5 more

Abstract readCase Reports
In one paragraph

Article in Critical care explorations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Cristina LopezCritical Care Service, Hospital Universitario Reina Sofía-IMIBIC, Cordoba, Spain.ORCID 0000-0002-3419-7476
Rafael Sanchez-SanchezPathology Service, Hospital Universitario Reina Sofía-IMIBIC, Cordoba, Spain.
Diana CoronaInfectious Diseases Service, Maimonides Institute of Biomedical Research of Cordoba University Hospital of Córdoba, University of Córdoba, CIBERINFEC, ISCIII-CIBER of Infectious Diseases, Carlos III Health Institute, Madrid, Spain.
Ana Belen PerezMicrobiology Service, Hospital Universitario Reina Sofía-IMIBIC, CIBERINFEC, Cordoba, Spain.
Francisco BravoRadiology Service, Hospital Universitario Reina Sofía-IMIBIC, Cordoba, Spain.
Maria de AlbaCritical Care Service, Hospital Universitario Reina Sofía-IMIBIC, Cordoba, Spain.
Antonio BraceroCritical Care Service, Hospital Universitario Reina Sofía-IMIBIC, Cordoba, Spain.
Cristina CazorlaNeurophysiology Service, Hospital Universitario Reina Sofía-IMIBIC, Cordoba, Spain.
Ana VázquezArboviruses and Imported Viral Diseases Laboratory, National Center for Microbiology, Instituto de Salud Carlos III, CIBERESP, Madrid, Spain.
Maria Paz Sánchez-SecoArboviruses and Imported Viral Diseases Laboratory, National Center for Microbiology, Instituto de Salud Carlos III, CIBERINFEC, Madrid, Spain.
Ana NegredoArboviruses and Imported Viral Diseases Laboratory, National Center for Microbiology, Instituto de Salud Carlos III, CIBERINFEC, Madrid, Spain.
Ulises Gómez-PinedoNeurobiology Laboratory, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, Spain.
Luis Martinez-MartinezMicrobiology Service, Hospital Universitario Reina Sofía-IMIBIC, University of Cordoba, CIBERINFEC, Cordoba, Spain.
Julian Torre-CisnerosInfectious Diseases Service, Hospital Universitario Reina Sofía-IMIBIC, University of Cordoba, CIBERINFEC, Cordoba, Spain.
Carmen de la FuenteCritical Care Service, Hospital Universitario Reina Sofía-IMIBIC, CIBERINFEC, Cordoba, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMpox, formerly known as monkeypox, is an infectious disease caused by the mpox virus. Systemic involvement is rare and mpox-associated meningoencephalitis is an uncommon clinical presentation. Because mpox-associated meningoencephalitis is characterized by nonspecific clinical and incidental imaging findings, the disease is difficult to diagnose. CASE SUMMARY: We present a case of fatal mpox-associated meningoencephalitis with negative polymerase chain reaction in cerebrospinal fluid (CSF) diagnosed at autopsy. A young immunocompetent patient with no significant medical history initially presented with genital mpox infection. Within 48 hours, he showed neurologic involvement requiring orotracheal intubation. His condition deteriorated rapidly, progressing to cerebral edema and brain death consistent with meningoencephalitis. Despite negative testing for mpox virus in CSF, the diagnosis was confirmed posthumously by autopsy, where histological examination revealed the presence of mpox virus in brain tissue.

conclusionsMpox-associated meningoencephalitis should be considered as a potential diagnosis even in the absence of the mpox virus genome in CSF.

Indexed as

MeningoencephalitisMpox, MonkeypoxAdultAutopsyFatal OutcomeHumansMalediagnosticencephalitishistologymonkeypoxnonimmunocompromised

Identifiers

PMID40505032
PMCPMC12160730

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.