A Severe Form of Mpox Infection and the Current Epidemiological Status in Romania negru2025severe

Retrospective descriptive study of mpox epidemiology in Romania (national surveillance in 2022–2023; 47 confirmed cases in 2022) plus a detailed severe-case longitudinal shedding description from one immunocompromised male patient with AIDS treated with tecovirimat. Monkeypox virus (MPXV) was detected by qPCR (genesig Advanced kit) from multiple specimen types collected serially over ~5 months; the figure-derived CSV provides Ct values over time for serum, skin lesion, saliva, urine, rectal swab, nasal, and pharyngeal specimens for PatientID 1.

Analytes

serum

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

observations for serum

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: serum
Units: cycle threshold
Participants: 1
Negative samples: 1
Positive samples (not quantifiable): 0
Quantifiable samples: 7
Limit of quantification: unknown
Limit of detection: 40.2

skin

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

observations for skin

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: skin lesion
Units: cycle threshold
Participants: 1
Negative samples: 0
Positive samples (not quantifiable): 0
Quantifiable samples: 7
Limit of quantification: unknown
Limit of detection: 40.2

saliva

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

observations for saliva

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: saliva
Units: cycle threshold
Participants: 1
Negative samples: 0
Positive samples (not quantifiable): 0
Quantifiable samples: 7
Limit of quantification: unknown
Limit of detection: 40.2

urine

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

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: 1
Negative samples: 2
Positive samples (not quantifiable): 0
Quantifiable samples: 5
Limit of quantification: unknown
Limit of detection: 40.2

rectal_swab

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

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: 1
Negative samples: 1
Positive samples (not quantifiable): 0
Quantifiable samples: 6
Limit of quantification: unknown
Limit of detection: 40.2

nasal

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

observations for nasal

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: nasopharyngeal swab
Units: cycle threshold
Participants: 1
Negative samples: 0
Positive samples (not quantifiable): 0
Quantifiable samples: 7
Limit of quantification: unknown
Limit of detection: 40.2

pharyngeal

MPXV genome detection by qPCR using monkeypox virus genesig Advanced Kit (Primerdesign, UK) on nucleic acid extracted (QIAamp DSP Virus Kit) from clinical samples collected in viral transport medium (VTM) and run on a Bio-Rad CFX96; CSV values are Ct (cycle threshold) over time.

observations for pharyngeal

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: 1
Negative samples: 1
Positive samples (not quantifiable): 0
Quantifiable samples: 6
Limit of quantification: unknown
Limit of detection: 40.2