We opened a case with Cisco and we were assured that it is normal for CSA to create as many as 200 connections to the SQL server--including orphan connections.
We will continue to monitor the number of connections between CSA and SQL and note how long the orphan processes take to close.
If we continue to notice a degradation of service on the SQL server and it can be shown in log/sniffer traces, we can then disable the CSA MC from accessing the SQL server and see if this solves the issue.
More information as it becomes available.