Pathology and Monkeypox virus Localization in Tissues From Immunocompromised Patients With Severe or Fatal Mpox Article Swipe
Jana M. Ritter
,
Roosecelis B. Martines
,
Julu Bhatnagar
,
Agam K. Rao
,
Julian A. Villalba
,
Luciana Silva‐Flannery
,
Elizabeth Lee
,
Hannah Bullock
,
Christina L. Hutson
,
Terra Cederroth
,
Cynthia K. Harris
,
Kristin Hord
,
Ya Xu
,
Cameron A. Brown
,
Jack P Guccione
,
Matthew A. Miller
,
Christopher D. Paddock
,
Sarah Reagan-Steiner
,
Jasmine Carter
,
Josilene Nascimento Seixas
,
James Lee
,
Shama Cash‐Goldwasser
,
William A. Bower
,
Caroline A. Schrodt
,
Sapna Bamrah Morris
,
Jemma Alarcón
,
Mark G. Evans
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/infdis/jiad574
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/infdis/jiad574
Background Pathology and Monkeypox virus (MPXV) tissue tropism in severe and fatal human mpox is not thoroughly described but can help elucidate the disease pathogenesis and the role of coinfections in immunocompromised patients. Methods We analyzed biopsy and autopsy tissues from 22 patients with severe or fatal outcomes to characterize pathology and viral antigen and DNA distribution in tissues by immunohistochemistry and in situ hybridization. Tissue-based testing for coinfections was also performed. Results Mucocutaneous lesions showed necrotizing and proliferative epithelial changes. Deceased patients with autopsy tissues evaluated had digestive tract lesions, and half had systemic tissue necrosis with thrombotic vasculopathy in lymphoid tissues, lung, or other solid organs. Half also had bronchopneumonia, and one-third had acute lung injury. All cases had MPXV antigen and DNA detected in tissues. Coinfections were identified in 5 of 16 (31%) biopsy and 4 of 6 (67%) autopsy cases. Conclusions Severe mpox in immunocompromised patients is characterized by extensive viral infection of tissues and viremic dissemination that can progress despite available therapeutics. Digestive tract and lung involvement are common and associated with prominent histopathological and clinical manifestations. Coinfections may complicate mpox diagnosis and treatment. Significant viral DNA (likely correlating to infectious virus) in tissues necessitates enhanced biosafety measures in healthcare and autopsy settings.
Related Topics
Concepts
Monkeypox
Virology
Medicine
Pathology
Virus
Immunology
Biology
Vaccinia
Gene
Recombinant DNA
Biochemistry
Metadata
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- Language
- en
- Landing Page
- https://doi.org/10.1093/infdis/jiad574
- https://academic.oup.com/jid/advance-article-pdf/doi/10.1093/infdis/jiad574/56253198/jiad574.pdf
- OA Status
- hybrid
- Cited By
- 26
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391055846
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4391055846Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/infdis/jiad574Digital Object Identifier
- Title
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Pathology and Monkeypox virus Localization in Tissues From Immunocompromised Patients With Severe or Fatal MpoxWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-01-18Full publication date if available
- Authors
-
Jana M. Ritter, Roosecelis B. Martines, Julu Bhatnagar, Agam K. Rao, Julian A. Villalba, Luciana Silva‐Flannery, Elizabeth Lee, Hannah Bullock, Christina L. Hutson, Terra Cederroth, Cynthia K. Harris, Kristin Hord, Ya Xu, Cameron A. Brown, Jack P Guccione, Matthew A. Miller, Christopher D. Paddock, Sarah Reagan-Steiner, Jasmine Carter, Josilene Nascimento Seixas, James Lee, Shama Cash‐Goldwasser, William A. Bower, Caroline A. Schrodt, Sapna Bamrah Morris, Jemma Alarcón, Mark G. EvansList of authors in order
- Landing page
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https://doi.org/10.1093/infdis/jiad574Publisher landing page
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https://academic.oup.com/jid/advance-article-pdf/doi/10.1093/infdis/jiad574/56253198/jiad574.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://academic.oup.com/jid/advance-article-pdf/doi/10.1093/infdis/jiad574/56253198/jiad574.pdfDirect OA link when available
- Concepts
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Monkeypox, Virology, Medicine, Pathology, Virus, Immunology, Biology, Vaccinia, Gene, Recombinant DNA, BiochemistryTop concepts (fields/topics) attached by OpenAlex
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26Total citation count in OpenAlex
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2025: 15, 2024: 11Per-year citation counts (last 5 years)
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.treatment. | 189 |
| abstract_inverted_index.Conclusions | 145 |
| abstract_inverted_index.Significant | 190 |
| abstract_inverted_index.correlating | 194 |
| abstract_inverted_index.involvement | 172 |
| abstract_inverted_index.necrotizing | 77 |
| abstract_inverted_index.Coinfections | 129, 183 |
| abstract_inverted_index.Tissue-based | 66 |
| abstract_inverted_index.characterize | 50 |
| abstract_inverted_index.coinfections | 30, 69 |
| abstract_inverted_index.distribution | 57 |
| abstract_inverted_index.necessitates | 200 |
| abstract_inverted_index.pathogenesis | 25 |
| abstract_inverted_index.vasculopathy | 100 |
| abstract_inverted_index.Mucocutaneous | 74 |
| abstract_inverted_index.characterized | 152 |
| abstract_inverted_index.dissemination | 161 |
| abstract_inverted_index.proliferative | 79 |
| abstract_inverted_index.therapeutics. | 167 |
| abstract_inverted_index.hybridization. | 65 |
| abstract_inverted_index.manifestations. | 182 |
| abstract_inverted_index.bronchopneumonia, | 112 |
| abstract_inverted_index.histopathological | 179 |
| abstract_inverted_index.immunocompromised | 32, 149 |
| abstract_inverted_index.immunohistochemistry | 61 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 99 |
| corresponding_author_ids | https://openalex.org/A5005452883, https://openalex.org/A5053157450 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 27 |
| corresponding_institution_ids | https://openalex.org/I1289490764, https://openalex.org/I4210121439 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8500000238418579 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.98535127 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |