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Related Experiment Videos

Milker's nodule--case report.

Romana Ceović1, Aida Pasić, Jasna Lipozencić

  • 1University Department of Dermatology and Venereology, Zagreb University Hospital Center and School of Medicine, Salata 4 HR-10000 Zagreb, Croatia. romana.ceovic@zg.htnet.hr

Acta Dermatovenerologica Croatica : ADC
|July 17, 2007
PubMed
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Milker's nodule, a viral skin disease from parapoxvirus, can affect cattle handlers. This case shows typical symptoms and resolution with antibiotics, highlighting zoonotic transmission risks.

Area of Science:

  • Veterinary Dermatology
  • Zoonotic Diseases
  • Viral Infections

Background:

  • Milker's nodule (noduli mulgentium) is a benign viral skin disease.
  • Caused by parapoxvirus, endemic in cattle.
  • Transmitted from infected cows to cattle handlers.

Observation:

  • A 25-year-old housewife presented with itchy, purplish-red nodules on hands.
  • She also developed lymphangiitis of the right arm.
  • Cows on her farm were recently treated for pseudocowpox.

Findings:

  • The patient's symptoms were consistent with milker's nodule.
  • Lymphangiitis resolved completely after 10 days of amoxicillin with clavulanic acid.
  • Nodules resolved spontaneously within several weeks.

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Implications:

  • This case underscores the zoonotic potential of parapoxvirus.
  • Highlights the importance of recognizing milker's nodule in farm workers.
  • Demonstrates effective management of secondary bacterial infection (lymphangiitis).