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Orf: a case report.

B W Mohr, D Katz

    Henry Ford Hospital Medical Journal
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Ecthyma contagiosum (orf) is a mild, self-limiting viral illness in sheep and goats that can spread to humans. This case highlights orf in a human presenting with unusual bullous lesions and rash, even in the midwestern United States.

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    Area of Science:

    • Veterinary Medicine
    • Human Infectious Diseases
    • Dermatology

    Background:

    • Ecthyma contagiosum, commonly known as orf, is a viral disease prevalent in sheep and goats.
    • It is zoonotic, meaning it can be transmitted from animals to humans, typically through direct contact.
    • Orf is generally a mild, self-limiting condition, often overlooked in medical settings.

    Observation:

    • A healthy 36-year-old female presented with bullous lesions on her fingers.
    • She developed a diffuse macular rash following antibiotic treatment for the bullae.
    • Her symptoms began after caring for goats with a condition known as "sore mouth."

    Findings:

    • The patient's presentation and history are consistent with zoonotic transmission of ecthyma contagiosum (orf).

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  • The development of bullous lesions and subsequent rash is an atypical manifestation of orf in humans.
  • This case underscores the potential for orf to present with varied dermatological symptoms.

    • Implications:

    • Healthcare providers, especially in regions with livestock, should consider orf in the differential diagnosis of unexplained skin lesions.
    • Increased awareness of orf's zoonotic potential and atypical presentations is crucial for timely diagnosis and management.
    • This case contributes to the understanding of orf's clinical spectrum in humans, particularly in non-endemic areas.