Physician Scientist | Professor of Infection &Inequities |@QMULBartsTheLon| Director @SHAREEastLondon| Governing Council @IAS| #HIV #mpox #Gender #IDtwitter|🕉️
Feb 21, 2023 • 16 tweets • 10 min read
📣 📣 Our global case series on MPOX in people with advanced HIV infection is at #CROI2023 and in @TheLancet today: 382 cases of human MPOX infection in PLWH with CD4 counts <350 cells/mm3 in 19 countries
**We found MPOX is an opportunistic pathogen** /1 thelancet.com/journals/lance…
BACKGROUND: Limited evidence on MPOX outcomes in advanced HIV disease. Two Nigerian reports suggested more severe/prolonged symptoms. Two @CDC reports showed worse rectal disease, complications & some deaths #CROI2023 /2
Nov 17, 2022 • 19 tweets • 10 min read
📣Today @TheLancet!📣 The 1st global case series on the epidemiological & clinical characteristics of monkeypox virus (MPXV) infection in cis & trans women & non-binary individuals assigned female at birth, to aid diagnosis & understanding of risk factors bit.ly/3tAxSIb
Since May 2022, global outbreaks of human MPXV infection have been reported in over 78000 people, predominantly in men who have sex with men. The proportion of women has been very low - 0% to 3·8%. Few have distinguished between cis and trans women bit.ly/3PGg7js /2
A global collaborative case series led by @ShareEastLondon@QMUL describing 528 confirmed infections from 43 centres in 16 countries + an image library.
bit.ly/3PGg7js@JohnPThornhill🧵
2/Before April 2022, MPXV in humans was seldom reported outside African regions where it is endemic. Currently, cases are occurring globally. Transmission, risk factors, clinical presentation & outcomes of infection are poorly defined. MPXV research has been grossly underfunded