Severe Monkeypox in Hospitalized Patients

Authors and Disclosures

Maureen J. Miller, MD^1,*, Shama Cash-Goldwasser, MD^1–3,*, Grace E. Marx, MD¹, Caroline A. Schrodt, MD¹, Anne Kimball, MD¹, Kia Padgett, MPH¹, Rebecca S. Noe, MPH¹, David W. McCormick, MD^1,2, Joshua M. Wong, MD^1,2, Sarah M. Labuda, MD¹, Brian F. Borah, MD^1,2,4, Isaac Zulu, MD¹, Amimah Asif, MBBS¹, Gurpreet Kaur, MD^1,2, Janet M. McNicholl, MD¹, Athena Kourtis, MD¹, Andrew Tadros, MD, PhD¹, Sarah Reagan-Steiner, MD¹, Jana M. Ritter, DVM¹, Yon Yu, PharmD¹, Patricia Yu, MPH¹, Rachel Clinton, MS¹, Corrine Parker, PharmD¹, Eleanor S. Click, MD, PhD^1,2, Johanna S. Salzer, DVM¹, Andrea M. McCollum, PhD¹, Brett Petersen, MD¹, Faisal S. Minhaj, PharmD^1,2, Ericka Brown, MD⁵, Michael P. Fischer, MD⁶, Robert L. Atmar, MD⁷, Andrew R. DiNardo, MD⁷, Ya Xu, MD, PhD⁷, Cameron Brown, PhD⁷, Jerry Clay Goodman, MD⁷, Ashley Holloman, MD⁷, Julia Gallardo, MD⁷, Hanna Siatecka, MD⁷, Georgia Huffman, MD⁷, John Powell, MD⁷, Philip Alapat, MD⁷, Pralay Sarkar, MD⁷, Nicola A. Hanania, MD⁷, Or Bruck, MD⁷, Steven D. Brass, MD^7,8, Aneesh Mehta, MD⁹, Alexandra W. Dretler, MD¹⁰, Amanda Feldpausch, DVM¹¹, Jessica Pavlick, DrPH¹¹, Hillary Spencer, MD^2,12, Isaac Ghinai, MBBS¹², Stephanie R. Black, MD^12,13, Laura N. Hernandez-Guarin, MD¹³, Sarah Y. Won, MD¹³, Shivanjali Shankaran, MD¹³, Andrew T. Simms, MD¹³, Jemma Alarcón, MD^2,14, Jesse G. O’Shea, MD¹, John T. Brooks, MD¹, Jennifer McQuiston, DVM¹, Margaret A. Honein, PhD¹, Siobhán M. O’Connor, MD¹, Kevin Chatham-Stephens, MD¹, Kevin O’Laughlin, MD¹, Agam K. Rao, MD¹, Elliot Raizes, MD¹, Jeremy A. W. Gold, MD^1,† and Sapna Bamrah Morris, MD^1,†, CDC Severe Monkeypox Investigations Team

¹CDC Monkeypox Emergency Response Team; ²Epidemic Intelligence Service, CDC; ³Minnesota Department of Health; ⁴Vermont Department of Health; ⁵Harris County Public Health, Houston, Texas; ⁶Texas Department of State Health Services; ⁷Baylor College of Medicine, Houston, Texas; ⁸Harris Health System, Bellaire, Texas; ⁹Emory University School of Medicine, Atlanta, Georgia; ¹⁰Infectious Diseases Specialists of Atlanta, Decatur, Georgia; ¹¹Georgia Department of Public Health; ¹²Chicago Department of Public Health, Chicago, Illinois; ¹³Rush University System for Health, Chicago, Illinois, ¹⁴Los Angeles County Department of Public Health, Los Angeles, California.

Corresponding author
Maureen J. Miller, yax6@cdc.gov.

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Siobhán M. O’Connor reports US Patent Application #20190212345 and #20150140670 for kits and methods for determining physiologic levels and ranges of hemoglobin or disease state. Nicola A. Hanania reports institutional support from GSK, Sanofi, Genentech, AstraZeneca, and Teva; consulting fees from AstraZeneca, GSK, Boehringer Ingelheim, Sanofi, Genentech, Teva, and Amgen; and service as editor in chief of Respiratory Medicine. Jerry Clay Goodman reports payment from the American Academy of Neurology for a course in neuropathology at the annual meeting. No other potential conflicts of interest were disclosed.

*These authors contributed equally to this report.

^†These senior authors contributed equally to this report.

CDC Severe Monkeypox Investigations Team
Shelby Duessel, CDC; Darren Danaie, CDC; Angela Hickman, CDC; Brynn Griffith, CDC; Haddijatou Sanneh, CDC; Helena Hutchins, CDC; Christine Phyathep, CDC; Ann Carpenter, CDC; Victoria Shelus, CDC; Julia Petras, CDC; Ian Hennessee, CDC; Meryl Davis, CDC; Cristin McArdle, CDC; Patrick Dawson, CDC; Bruce Gutelius, CDC; Kris Bisgard, CDC; Karen Wong, CDC; Romeo R. Galang, CDC; Kiran M. Perkins, CDC; Thomas D. Filardo, CDC; Whitni Davidson, CDC; Christy Hutson, CDC; David Lowe, CDC; Jason E. Zucker, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, New York; David A. Wheeler, INOVA Fairfax Hospital, Falls Church, Virginia; Lucy He, INOVA Fairfax Hospital, Falls Church, Virginia; Aabha K. Jain, INOVA Fairfax Hospital, Falls Church, Virginia; Oleksandr Semeniuk, INOVA Fairfax Hospital, Falls Church, Virginia; Dev Chatterji, INOVA Fairfax Hospital, Falls Church, Virginia; Marnie McClure, Johns Hopkins Hospital, Baltimore, Maryland; Lucy X. Li, Johns Hopkins Hospital, Baltimore, Maryland; Jona Mata, Johns Hopkins Hospital, Baltimore, Maryland; Sasha Beselman, Johns Hopkins Hospital, Baltimore, Maryland; Sara L. Cross, Regional One Health-Memphis; Barbara Menzies, Regional One Health-Memphis, Memphis, Tennessee; Marina Keller, Westchester Medical Center, Valhalla; New York; Vishnu Chaturvedi, Westchester Medical Center, Valhalla; New York; Andrea Thet, Bronxcare Health System, New York, New York; Ryan Carroll, The Ohio State University, Columbus, Ohio; Courtney Hebert, The Ohio State University, Columbus, Ohio; Gopi Patel, Mount Sinai School of Medicine, New York, New York; Vani Gandhi, Mount Sinai School of Medicine, New York, New York; Alexandra Abrams-Downey, Mount Sinai School of Medicine, New York, New York; Mehmood Nawab, Osceola Regional Medical Center, Kissimmee, Florida; Emily Landon, University of Chicago School of Medicine, Chicago, Illinois; Gregory Lee, NYC Health + Hospitals/Bellevue Hospital Center, New York, New York; Emma Kaplan-Lewis, NYC Health + Hospitals/Elmhurst Hospital Center, New York, New York; Cyndee Miranda, Cleveland Clinic, Cleveland, Ohio; Anna E. Carmack, University of Maryland Medical Center, Baltimore, Maryland; Edward C. Traver, University of Maryland School of Medicine, Baltimore, Maryland; Susana Lazarte, UT Southwestern Medical Center, Dallas, Texas; Trish M. Perl, UT Southwestern Medical Center, Dallas, Texas; Jeremy Chow, UT Southwestern Medical Center, Dallas, Texas; Ellen Kitchell, UT Southwestern Medical Center, Dallas, Texas; Ank Nijhawan, UT-Southwestern Medical Center and Parkland Hospital and Health System, Dallas, Texas; Onaizah Habib, Penrose-St. Francis Hospital, Colorado Springs, Colorado; Allen Bernus, UC Health University of Colorado Hospital, Aurora, Colorado; Gabriela Andujar, Tufts Medical Center, Boston, Massachusetts; Kusha Davar, LAC+USC Medical Center, Los Angeles, California; Paul Holtom, LAC+USC Medical Center, Los Angeles, California; Noah Wald-Dickler, LAC+USC Medical Center, Los Angeles, California; Marco A. Lorio, Providence St. Patrick Hospital, Missoula, Montana; Jose Gaviria, Baptist Hospital, Miami, Florida; Vivian Chu, Duke University School of Medicine, Durham, North Carolina; Cameron R. Wolfe, Duke University School of Medicine, Durham, North Carolina; Mehri S. McKellar, Duke University School of Medicine, Durham, North Carolina; Sumaya Farran, DFW Infectious Diseases, Lewisville, Texas; Roque A. Diaz Wong, Methodist Hospital, San Antonio, Texas; Tjark Schliep, NYC Health + Hospitals/Harlem Hospital Center, New York, New York; Raphael Shaw, NYC Health + Hospitals/Harlem Hospital Center, New York, New York;; Pablo Tebas, University of Pennsylvania, Philadelphia, Pennsylvania; Aaron Richterman, University of Pennsylvania, Philadelphia, Pennsylvania; Michelle Aurelius, North Carolina Office of the Chief Medical Examiner; Leah Peterson, Salina Family Healthcare Center, Salina, Kansas; Ron Trible, Northside Hospital, Atlanta, Georgia; Tyler Rehman, VA Hospital, Chicago, Illinois; Rabeeya Sabzwari, VA Hospital, Chicago, Illinois; Edward Hines, Jr., VA Hospital, Chicago, Illinois; Trevor Birkey, University of Wisconsin Medical Center, Milwaukee, Wisconsin; Jamie King, University Medical Center of Southern Nevada, Las Vegas, Nevada; Ali Farabi, University Medical Center of Southern Nevada, Las Vegas, Nevada; Elizabeth Jenny-Avital, NYC Health + Hospitals/Jacobi Medical Center, New York, New York; Lauren Touleyrou, Wayne State University, Detroit, Michigan; Avnish Sandhu, Wayne State University, Detroit, Michigan; Gretchen Newman, Wayne Health, Detroit, Michigan; Divya Bhamidipati, University of Texas Medical Center, Austin, Texas; Divya Bhamidipati, McGovern Medical School at UTHealth, Houston, Texas; Karen Vigil, McGovern Medical School at UT Health, Houston, Texas; Melissa Caro, HCA Florida Mercy Hospital, Miami, Florida; Koury Banowski, Mercy Health, Toledo, Ohio; Tanyanyiwa W. Chinyadza, Mercy Health, Toledo, Ohio; Jaclyn Rosenzweig, Jefferson Health, Philadelphia, Pennsylvania; Michelle S. Jones, Piedmont Hospital, Atlanta, Georgia; Jose F. Camargo, Miller School of Medicine, Miami, Florida; Ketzela J. Marsh, University of Minnesota, Minneapolis and Saint Paul, Minnesota; Eugene W. Liu, Loma Linda University Health, Loma Linda, California; Richelle Guerrero-Wooley, Loma Linda University Health, Loma Linda, California; Paul Pottinger, University of Washington, Seattle, Washington.