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Severe Mpox Among People With Advanced Human Immunodeficiency Virus Receiving Prolonged Tecovirimat in New York City.

Elizabeth A GarciaMary M K FooteTristan D McPhersonMaura K LashAmma N BosompemAlyssa BouscarenJustin ChanMadeline A DiLorenzoDennis FeihelRandal C FowlerVani GandhiElizabeth R Jenny-AvitalErik J KoppingDana MazoJacob McLeanOfole MgbakoMark N SayeghRaphael N ShawMichelle SuJeanne Sullivan MeissnerJade C WangWendy WenJohn C WintersCosmina B ZeanaJason E ZuckerMarcia Wong
Published in: Open forum infectious diseases (2024)
Severe mpox has been observed in people with advanced human immunodeficiency virus (HIV). We describe clinical outcomes of 13 patients with advanced HIV (CD4 <200 cells/μL), severe mpox, and multiorgan involvement. Despite extended tecovirimat courses and additional agents, including vaccinia immune globulin, cidofovir, and brincidofovir, this group experienced prolonged hospitalizations and high mortality.
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