Progression of human monkeypox infection despite tecovirimat in an immunocompromised adult

Transpl Infect Dis. 2023 Feb;25(1):e14022. doi: 10.1111/tid.14022. Epub 2023 Jan 30.

Abstract

We report a case of an immunocompromised man with monkeypox who experienced disease progression despite timely initiation of tecovirimat and ultimately required utilization of cidofovir and VIGIV for treatment. In immunocompromised patients, monkeypox might present with a more severe course of disease requiring consideration of alternative treatment strategies.

Keywords: brincidofovir; cidofovir; immunosuppression; monkeypox; tecovirimat; vaccinia immune globulin intravenous.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use
  • Benzamides / therapeutic use
  • Humans
  • Immunocompromised Host
  • Male
  • Mpox (monkeypox)* / drug therapy

Substances

  • Antiviral Agents
  • human intravenous vaccinia immune globulin
  • Benzamides