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Peer-reviewed veterinary case report

Development and Pilot of an Mpox Severity Scoring System.

Journal:
The Journal of infectious diseases
Year:
2024
Authors:
Zucker, Jason et al.
Affiliation:
Vagelos College of Physicians and Surgeons · United States

Abstract

Clinical severity scores facilitate comparisons to understand risk factors for severe illness. For the 2022 multinational monkeypox clade IIb virus outbreak, we developed a 7-item Mpox Severity Scoring System (MPOX-SSS) with initial variables refined by data availability and parameter correlation. Application of MPOX-SSS to the first 200 patients diagnosed with mpox revealed higher scores in those treated with tecovirimat, presenting >3 days after symptom onset, and with CD4 counts <200&#x2005;cells/mm3. For individuals evaluated repeatedly, serial scores were concordant with clinical observations. The pilot MPOX-SSS demonstrated good discrimination, distinguished change over time, and identified higher scores in expected groups.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/37956401/