1. Extensive orf infection in a toddler with associated id reaction
- Author
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Haddock, Ellen S, Cheng, Carol E, Bradley, John S, Hsu, Christopher H, Zhao, Hui, Davidson, Whitni B, and Barrio, Victoria R
- Subjects
Paediatrics ,Biomedical and Clinical Sciences ,Clinical Sciences ,Animals ,Bites and Stings ,Dermatitis ,Diphenhydramine ,Ecthyma ,Contagious ,Exanthema ,Glucocorticoids ,Goats ,Histamine H1 Antagonists ,Humans ,Infant ,Male ,Orf virus ,Real-Time Polymerase Chain Reaction ,Skin ,Triamcinolone ,child ,contagious pustular dermatitis ,ecthyma contagiosum ,goat ,infection ,orf ,parapoxvirus ,virus ,Paediatrics and Reproductive Medicine ,Dermatology & Venereal Diseases ,Clinical sciences - Abstract
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.
- Published
- 2017