Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report

Abstract Since the first reported case of monkeypox in the UK in May 2022, there has been an upward trend in monkeypox cases and a global outbreak. However, reports of severe cases are relatively limited. In this study, we report a case of severe monkeypox in a patient with HIV. The patient presente...

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Main Authors: Chuming Chen, Weiming Yao, Siran Huang, Ling Peng, Shiyan Feng, Weibo Wu, Yunlan Yi, Zhiqiang Cheng, Yang Yang, Yan Yang, Liuqing Yang, Hongzhou Lu, Fuxiang Wang
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:iLabmed
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Online Access:https://doi.org/10.1002/ila2.32
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author Chuming Chen
Weiming Yao
Siran Huang
Ling Peng
Shiyan Feng
Weibo Wu
Yunlan Yi
Zhiqiang Cheng
Yang Yang
Yan Yang
Liuqing Yang
Hongzhou Lu
Fuxiang Wang
author_facet Chuming Chen
Weiming Yao
Siran Huang
Ling Peng
Shiyan Feng
Weibo Wu
Yunlan Yi
Zhiqiang Cheng
Yang Yang
Yan Yang
Liuqing Yang
Hongzhou Lu
Fuxiang Wang
author_sort Chuming Chen
collection DOAJ
description Abstract Since the first reported case of monkeypox in the UK in May 2022, there has been an upward trend in monkeypox cases and a global outbreak. However, reports of severe cases are relatively limited. In this study, we report a case of severe monkeypox in a patient with HIV. The patient presented with skin lesions that started on his face and around the penis and persisted for several months. Throughout the course of the disease, he received systematic symptomatic supportive treatment, topical remedies, and special care for the rash. He also underwent cidofovir antiviral therapy and smallpox‐vaccinated healthy population‐derived plasma therapy in succession, with the condition ultimately showing improvement after plasma treatment. After more than 3 months of hospitalization, he fully recovered. To the best of our knowledge, this is the first reported use of smallpox‐vaccinated healthy population‐derived plasma in the treatment of severe monkeypox cases.
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institution Kabale University
issn 2834-443X
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language English
publishDate 2024-03-01
publisher Wiley
record_format Article
series iLabmed
spelling doaj-art-9b8490e012b34777bb6cbb141629be832025-08-20T03:40:50ZengWileyiLabmed2834-443X2834-44482024-03-0121606610.1002/ila2.32Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case reportChuming Chen0Weiming Yao1Siran Huang2Ling Peng3Shiyan Feng4Weibo Wu5Yunlan Yi6Zhiqiang Cheng7Yang Yang8Yan Yang9Liuqing Yang10Hongzhou Lu11Fuxiang Wang12Department of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Pathology National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Blood Transfusion National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaDepartment of Infectious Diseases National Clinical Research Center for Infectious Disease Shenzhen Third People's Hospital The Second Affiliated Hospital School of Medicine Southern University of Science and Technology Shenzhen Guangdong ChinaAbstract Since the first reported case of monkeypox in the UK in May 2022, there has been an upward trend in monkeypox cases and a global outbreak. However, reports of severe cases are relatively limited. In this study, we report a case of severe monkeypox in a patient with HIV. The patient presented with skin lesions that started on his face and around the penis and persisted for several months. Throughout the course of the disease, he received systematic symptomatic supportive treatment, topical remedies, and special care for the rash. He also underwent cidofovir antiviral therapy and smallpox‐vaccinated healthy population‐derived plasma therapy in succession, with the condition ultimately showing improvement after plasma treatment. After more than 3 months of hospitalization, he fully recovered. To the best of our knowledge, this is the first reported use of smallpox‐vaccinated healthy population‐derived plasma in the treatment of severe monkeypox cases.https://doi.org/10.1002/ila2.32antiviral therapyco‐infectionHIVmonkeypoxplasma therapysevere infection
spellingShingle Chuming Chen
Weiming Yao
Siran Huang
Ling Peng
Shiyan Feng
Weibo Wu
Yunlan Yi
Zhiqiang Cheng
Yang Yang
Yan Yang
Liuqing Yang
Hongzhou Lu
Fuxiang Wang
Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report
iLabmed
antiviral therapy
co‐infection
HIV
monkeypox
plasma therapy
severe infection
title Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report
title_full Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report
title_fullStr Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report
title_full_unstemmed Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report
title_short Successful treatment of severe monkeypox case with advanced HIV infection using plasma from smallpox‐vaccinated healthy population: A case report
title_sort successful treatment of severe monkeypox case with advanced hiv infection using plasma from smallpox vaccinated healthy population a case report
topic antiviral therapy
co‐infection
HIV
monkeypox
plasma therapy
severe infection
url https://doi.org/10.1002/ila2.32
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