A Case of Persistently Positive Mpox PCR for 1 Year in a Patient With Advanced HIV - Summary - MDSpire

A Case of Persistently Positive Mpox PCR for 1 Year in a Patient With Advanced HIV

  • By

  • Haitham Alaithan

  • Neha Venkatesh

  • Prathit A Kulkarni

  • Richard J Hamill

  • Maria C Rodriguez-Barradas

  • April 16, 2025

  • 0 min

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Objective:

To report a case of persistent Mpox infection with prolonged PCR positivity lasting over one year in a patient with advanced HIV, highlighting its clinical significance.

Key Findings:
  • The patient had Mpox PCR positivity for over one year.
  • Initial treatment with tecovirimat did not completely resolve lesions, indicating treatment challenges in immunocompromised patients.
  • Multiple PCR tests remained positive during hospitalization.
Interpretation:

This case highlights the potential for prolonged Mpox infection and PCR positivity in immunocompromised patients, particularly those with advanced HIV, suggesting a need for tailored management strategies.

Limitations:
  • Single case report limits generalizability, particularly in diverse patient populations.
  • Lack of long-term follow-up data post-discharge may obscure understanding of Mpox persistence.
Conclusion:

The findings suggest that Mpox may persist longer in immunocompromised individuals, necessitating careful monitoring and management, and underscore the need for further research in this area.

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