Monkeypox Outbreak 2022: Clinical and Virological Features of 30 Patients at the Sexually Transmitted Diseases Centre of Sant' Orsola Hospital, Bologna, Northeastern Italy gaspari2023monkeypox

Observational study of 30 laboratory-confirmed mpox (MPXV) patients seen at the Sexually Transmitted Diseases Centre of Sant’ Orsola Hospital (University of Bologna) in Bologna, Italy (20 June to 10 August 2022). Multiple specimen types (skin lesion swab, rectal swab, oropharyngeal swab, plasma, urine) were tested for MPXV DNA by real-time PCR and reported here as Ct values (with some negatives) at specific days after symptom onset.

Analytes

skin_lesion_swab

MPXV DNA detection by real-time PCR on skin lesion swab specimens; results reported as PCR cycle threshold (Ct).

exponential for skin_lesion_swab

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: mpox
Specimen: skin lesion
Units: cycle threshold
Participants: 30
Negative samples: 3
Positive samples (not quantifiable): 0
Quantifiable samples: 33
Limit of quantification: unknown
Limit of detection: unknown

oropharyngeal_swab

MPXV DNA detection by real-time PCR on oropharyngeal swab specimens; results reported as PCR cycle threshold (Ct).

observations for oropharyngeal_swab

Measurements only — no shedding model is fitted to this analyte, usually because it is sampled once per participant, leaving no trajectory to fit, or because nothing was ever detected. Open triangles are non-detects, drawn at the assay's censoring limit. See the modelling methods for what these estimates do and do not support.

Biomarker: mpox
Specimen: oropharyngeal swab
Units: cycle threshold
Participants: 12
Negative samples: 6
Positive samples (not quantifiable): 0
Quantifiable samples: 8
Limit of quantification: unknown
Limit of detection: unknown

plasma

MPXV DNA detection by real-time PCR on plasma specimens; results reported as PCR cycle threshold (Ct).

exponential for plasma

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: mpox
Specimen: plasma
Units: cycle threshold
Participants: 30
Negative samples: 17
Positive samples (not quantifiable): 0
Quantifiable samples: 19
Limit of quantification: unknown
Limit of detection: unknown

urine

MPXV DNA detection by real-time PCR on urine specimens; results reported as PCR cycle threshold (Ct).

observations for urine

Measurements only — no shedding model is fitted to this analyte, usually because it is sampled once per participant, leaving no trajectory to fit, or because nothing was ever detected. Open triangles are non-detects, drawn at the assay's censoring limit. See the modelling methods for what these estimates do and do not support.

Biomarker: mpox
Specimen: urine
Units: cycle threshold
Participants: 29
Negative samples: 20
Positive samples (not quantifiable): 0
Quantifiable samples: 16
Limit of quantification: unknown
Limit of detection: unknown

rectal_swab

MPXV DNA detection by real-time PCR on rectal swab specimens; results reported as PCR cycle threshold (Ct).

observations for rectal_swab

Measurements only — no shedding model is fitted to this analyte, usually because it is sampled once per participant, leaving no trajectory to fit, or because nothing was ever detected. Open triangles are non-detects, drawn at the assay's censoring limit. See the modelling methods for what these estimates do and do not support.

Biomarker: mpox
Specimen: rectal swab
Units: cycle threshold
Participants: 3
Negative samples: 0
Positive samples (not quantifiable): 0
Quantifiable samples: 3
Limit of quantification: unknown
Limit of detection: unknown