Age (>2) |
– |
Yes |
Sex (Male/Female) |
– |
No |
Transmission rank |
– |
Yes |
Country of acquisition |
– |
No |
Smallpox vaccination history |
– |
No |
HIV, hepatitis B, and hepatitis C status (Negative/Positive) |
Negative |
Yes |
Fever (Yes/No/None) |
No |
Yes |
Rectal pain or pain on defecation (Yes/No/None) |
No |
Yes |
Dysuria (Yes/No/None) |
No |
Yes |
Bleeding/discharge per rectum (Yes/No/None) |
No |
No |
Conjunctivitis (Yes/No/None) |
No |
Yes |
Oropharyngeal manifestations |
– |
Yes |
Back pain (Yes/No/None) |
No |
Yes |
Myalgia (Yes/No/None) |
No |
Yes |
headache (Yes/No//None) |
No |
Yes |
Sexually transmitted infections |
– |
No |
Lymphadenopathy (Yes/No/None) |
No |
Yes |
Approximate maximum number of concurrent lesions |
– |
Yes |
Distribution of lesions |
– |
Yes |
Complications of illness |
|
No |
Monkeypox viral DNA detected in Blood (Yes/No/None) |
No |
Yes |
Monkeypox viral DNA detected in Nose or throat swab (Yes/No/None) |
No |
Yes |
Monkeypox viral DNA detected in Urine (Yes/No/None) |
No |
Yes |
Antivirals received |
– |
No |
Day of illness treatment commenced |
– |
No |
Complications of treatment |
– |
No |
Duration of hospitalization with monkeypox (days) |
– |
No |
Sore throat (Yes/No/None) |
No |
Yes |
Chills (Yes/No/None) |
No |
Yes |
White Blood Cell (WBC) count, cells/mm3
|
400–9000 |
Yes |
Hematocrit, % |
For men (39–49) & For woman (35–45) |
Yes |
Platelet count * 109 platelets/L. |
150–400 |
Yes |
Sodium level, mmol/L |
136–145 |
Yes |
Potassium level, mmol/L |
3.5–5.0 |
Yes |
Blood urea nitrogen level, mg/dL |
10–20 |
Yes |
Creatinine level, mg/dL |
<1.5 |
Yes |
Calcium level, mmol/L |
9–10.5 |
Yes |
Total bilirubin level, mg/dL |
0.3–1 |
Yes |
Aspartate aminotransferase (AST) level, U/L |
0–35 |
Yes |
Alanine aminotransferase (ALT) level, U/L |
0–35 |
Yes |
Alkaline phosphatase (ALP) level, U/L |
40–140 |
Yes |
Arthralgia |
6.7–15.8 |
Yes |
Albumin level, mg/dL |
3.5–5.5 |
Yes |
Hospitalized (Yes/No/None) |
– |
No |
Date_confirmation |
– |
No |
Reverse transcription polymerase chain reaction (RT-PCR) (Yes/No/None) |
– |
Yes |
Outcome of monkeypox infection |
– |
No |