Evidence map›Paper›PMID 42655663›Full record

Observational studyViruses2026

Clinical Profile, of Adults Hospitalised with Mpox and Exploratory Associations with HIV Infection and Selected Comorbidities in South Kivu, Democratic Republic of the Congo: A Multicentre Retrospective Study.

Christian Tshongo Muhindo, Isaac Barhishindi, Arsène Daniel Nyalundja, Marina Saleeb, Mudarshiru Bbuye, Bruce Kirenga, Misaki Wayengera, Espoir Bwenge Malembaka, David Lupande Mwenebitu, Samuel Makali and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Viruses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Christian Tshongo MuhindoCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.ORCID 0000-0002-9511-7994
Isaac BarhishindiCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.
Arsène Daniel NyalundjaCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.ORCID 0000-0002-4802-3928
Marina SaleebGlobal Health Institute, University of Antwerp, 2000 Antwerp, Belgium.
Mudarshiru BbuyeMakerere Lung Institute, Makerere University College of Health Sciences, Mulago Hospital, Kampala P.O. Box 7062, Uganda.ORCID 0000-0002-8635-2925
Bruce KirengaMakerere Lung Institute, Makerere University College of Health Sciences, Mulago Hospital, Kampala P.O. Box 7062, Uganda.
Misaki WayengeraMakerere Lung Institute, Makerere University College of Health Sciences, Mulago Hospital, Kampala P.O. Box 7062, Uganda.
Espoir Bwenge MalembakaCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.
David Lupande MwenebituCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.ORCID 0000-0002-4124-1324
Samuel MakaliCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.ORCID 0000-0003-3538-1715
Susanne KrasemannInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.ORCID 0000-0001-8795-818X
Mannix MasimangoCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.
Samir Kumar-SinghDepartment of Molecular Morphology-Microscopy, Faculty of Medicine and Health Sciences, University of Antwerp, 2000 Antwerp, Belgium.ORCID 0000-0001-9466-6732
Robert ColebundersGlobal Health Institute, University of Antwerp, 2000 Antwerp, Belgium.ORCID 0000-0002-1919-1340
Patrick D M C KatotoCenter for Tropical Diseases and Global Health, and Faculty of Medicine, Catholic University of Bukavu, Bukavu P.O. Box 285, Democratic Republic of the Congo.ORCID 0000-0002-0553-201X
Joseph Nelson Siewe FodjoGlobal Health Institute, University of Antwerp, 2000 Antwerp, Belgium.ORCID 0000-0003-3544-1239

Funding

European & Developing Countries Clinical Trials Partnership 101195146
6 · The paper itself

Abstract

Mpox remains endemic in the Democratic Republic of the Congo (DRC), where co-endemic infections and non-communicable comorbidities may influence disease severity and clinical outcomes. However, data on associated factors of adverse outcomes among hospitalised adults with mpox in African settings remain limited. This study aimed to describe the clinical profile of adults hospitalised with mpox in South Kivu Province, eastern DRC, and to explore associations between selected comorbid conditions, including HIV infection, malaria, and hyperglycaemia, and mpox disease severity, mortality, and hospitalisation duration. We conducted a multicentre retrospective observational study among adults admitted to five mpox treatment centres in South Kivu Province, DRC, between January 2024 and December 2025. Demographic, clinical, and laboratory data were extracted from routine hospital registers. Mpox disease severity (available only for a subset of participants) was classified according to WHO criteria. Participants included adults with suspected, probable or laboratory-confirmed mpox according to WHO case definitions in use during the study period. In addition to mpox disease severity, outcomes of interest included in-hospital mortality and duration of hospitalisation. Multivariable regression models were used to explore associations between selected comorbidities and clinical outcomes after adjustment for age and sex. Among 652 hospitalised adults included in the analysis, the median age was 26 years (IQR 21.0-35.0), and 383/652 (58.7%) were female. Among patients with recorded severity data (

Indexed as

HIV InfectionsMpox, MonkeypoxAdultCoinfectionComorbidityDemocratic Republic of the CongoFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexYoung AdultadultcoinfectioncomorbidityDemocratic Republic of the CongoHIV infectionhospitalisationmpoxretrospective studiesseverity of illness index

Identifiers

PMID42655663
PMCPMC13517878

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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.