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Orf parapoxvirus infection from a cat scratch
Jonathan Frandsen1, Mike Enslow, Anneli R Bowen
1University of Utah, Department of Dermatology, Salt Lake City, Utah, USA.
Dermatology Online Journal
|May 10, 2011
Summary
Orf, a viral skin infection usually from sheep or goats, can be transmitted by cats. A novel case shows a woman’s orf infection resolved with topical imiquimod cream.
Area of Science:
- Dermatology
- Infectious Diseases
- Virology
Background:
- Orf (parapoxvirus) is a zoonotic infection typically transmitted from sheep and goats to humans.
- Transmission usually occurs via direct contact with infected animals or contaminated fomites.
Observation:
- A 53-year-old woman developed an enlarging, tender, ulcerated nodule on her dorsal hand.
- The patient reported a history of being scratched by a stray kitten prior to lesion development.
Findings:
- Histopathological examination confirmed orf parapoxvirus infection.
- The lesion resolved completely without scarring after several weeks of treatment with topical imiquimod 5% cream.
Implications:
- This case suggests that transmission of orf virus to humans can occur through cat scratches, a route not previously documented.
- Topical imiquimod may be an effective treatment for orf infections in humans.
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