Table 2.
Clinical Information of Patients Treated With Antibiotics for Suspected Bacterial Skin/Soft-Tissue Infection of Mpox Lesions
Age, y | Risk Factors for Severe Disease | High Risk Lesions | Admitted | Mpox diagnosis to Antibiotic Treatment, Days | Antibiotic Prescribed |
Location of SSTI | Clinical Features of Interest | Antibiotic Appropriateness |
---|---|---|---|---|---|---|---|---|
40 | None | AG | 0 | Amoxicillin-clavulanate | Genital | Erythema of penile lesion | Appropriate | |
23 | HIV, controlled; other exfoliative, other immunocompromise | AG | Y: perineal edema | 0 | Cephalexin | Genital | Soft tissue swelling in groin | Appropriate |
40 | HIV, controlled | AG | 0 | Ciprofloxacin + metronidazole | Perirectal | Perirectal collection on CT, treated empirically | Appropriate | |
43 | HIV, controlled | AG | −3 | Doxycycline | Rectal + Extremity | Empiric treatment prior to mpox diagnosis, limited documentation | Appropriate | |
56 | None | O | 0 | TMP/SMX + cephalexin | Oral | Empiric treatment, mpox felt most likely | Inappropriate | |
22 | None | O | 0 | TMP/SMX + cephalexin | Face | Empiric treatment, treating associated thrombophlebitis and lesions | Appropriate | |
27 | None | O | 0 | Clindamycin->TMP/SMX + cephalexin | Oral | Empiric treatment, ABX stopped once mpox diagnosed | Inappropriate | |
34 | HIV uncontrolled | O, AG | Y: facial edema | 2 | TMP/SMX + cephalexin | Face | Honey-crusting of lip lesion | Appropriate |
32 | HIV uncontrolled | O, AG | Y: pharyngitis | 0 | Amoxicillin-clavulanate | Face | Facial swelling | Appropriate |
36 | HIV, controlled | 6 | Mupirocin | Face | Facial pustule | Appropriate | ||
39 | HIV, controlled | 8 | TMP/SMX + cephalexin | Groin | Groin erythema at mpox lesion | Appropriate | ||
48 | HIV, controlled | Y: septic knee | 0 | TMP/SMX + cephalexin | Extremity | Knee effusion: mpox positive, culture negative | Appropriate | |
38 | HIV, controlled | 0 | Levofloxacin + doxycycline | Face | Empiric treatment, ABX stopped once mpox diagnosed | Inappropriate |
Note. ABX, antibiotics; SSTI, bacterial skin and soft-tissue infection; TM-SMX, trimethoprim/sulfamethoxazole; O, oral lesions; AG, anogenital lesions; HIV, human immunodeficiency virus; CT, computed tomography.