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Updated: Sep 25, 2026

Vaccinia Virus Infection & Temporal Analysis of Virus Gene Expression: Part 1
Published on: April 8, 2009
[Cowpox and catpox infection. 2 Clinical case reports]
B Feuerstein1, M Jürgens, E Schnetz
1Dermatologische Universitätsklinik, Hartmannstrasse 14, 91052 Erlangen.
Abstract:
In patients with painful, possibly hemorrhagic vesicles or black crusts, especially on hands/fingers or face/neck with typical history (contact to cows or feral/cats) the possibility of a cowpox/catpox infection has to be considered. The clinical diagnosis can be confirmed with the electron microscopy; cytoplasmic inclusions may be detected histologically. Further useful diagnostic tools are the identification of the cowpox/catpox virus by PCR or in cell culture as well as serological tests to detect virus specific antibodies. We report the development of typical skin lesions of a cowpox/catpox infection in two female patients who had contact with cows or cats. Recent diagnostic and therapeutic approaches are also discussed.
Insights
Cowpox/catpox infection, characterized by skin lesions, can occur after contact with cows or cats. Diagnosis involves clinical signs, electron microscopy, PCR, and serology for effective management.
Area of Science:
- Veterinary Medicine
- Infectious Diseases
- Dermatology
Background:
- Cowpox and catpox are zoonotic viral diseases caused by orthopoxviruses.
- These infections can present with painful, hemorrhagic vesicles and black crusts, particularly on the hands, fingers, face, or neck.
- A history of contact with infected animals, such as cows or cats, is a key indicator.
Observation:
- Two female patients developed typical skin lesions consistent with cowpox/catpox infection.
- Both patients had a history of recent contact with cows or cats.
- The clinical presentation included painful, possibly hemorrhagic vesicles or black crusts.
Findings:
- Clinical diagnosis of cowpox/catpox infection is supported by characteristic skin lesions and patient history.
- Diagnostic confirmation can be achieved through electron microscopy (detecting cytoplasmic inclusions histologically), polymerase chain reaction (PCR) for virus identification, cell culture, and serological tests for virus-specific antibodies.
- The study highlights the utility of these diagnostic tools in identifying the infection.
Implications:
- Early and accurate diagnosis of cowpox/catpox is crucial for appropriate patient management and preventing potential spread.
- Understanding the diagnostic approaches, including viral identification and serological testing, aids clinicians in confirming the infection.
- The report emphasizes the importance of considering cowpox/catpox in differential diagnoses for patients presenting with specific skin lesions and relevant animal contact history.
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