Extensive orf infection in a toddler with associated id reaction

Details

• Alternative Title:
  Pediatr Dermatol
• Personal Author:
  Haddock, Ellen S. ; Cheng, Carol E. ; Bradley, John S. ; Hsu, Christopher H. ; Zhao, Hui ; Davidson, Whitni B. ; Barrio, Victoria R.
• Description:
  Orf is a zoonotic parapoxvirus typically transmitted to humans by a bite from goats or sheep. We present an unusual case of multiple orf lesions on the fingers of a 13-month-old child who was bitten by a goat and subsequently developed progressive swelling, blistering, and necrotic papulonodules of the hand followed by an additional diffuse, pruritic, papular rash. A primary diagnosis of orf infection was confirmed using real-time polymerase chain reaction, and the diffuse eruption was clinically consistent with an id reaction. Extensive necrosis and papular id reaction associated with orf rarely have been described.
• Subjects:
  Animals Article Bites And Stings Child Contagious Pustular Dermatitis Dermatitis Diphenhydramine Ecthyma, Contagious Ecthyma Contagiosum Exanthema Glucocorticoids Goat Goats Histamine H1 Antagonists Humans Infant Infection Male Orf Orf Virus Parapoxvirus Real-Time Polymerase Chain Reaction Skin Triamcinolone Virus

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• Source:
  Pediatr Dermatol. 34(6):e337-e340
• Pubmed ID:
  28940500
• Pubmed Central ID:
  PMC6423519
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  34
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7f0604ee42c44d87dbb9f1f8127e7d6bfe3f5611a66146e10182be0e801a7221
• Download URL:
  https://stacks.cdc.gov/view/cdc/76965/cdc_76965_DS1.pdf
• File Type:
  [PDF - 455.97 KB ]