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Pseudocowpox lesions in an agricultural student
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Journal Article
Pseudocowpox lesions in an agricultural student
2023
Overview
A 21-year-old woman was presented to the emergency department with a 2-week history of lesions on her left hand. As a student in an agriculture program, she had had ungloved contact with goats and the mouth of a baby calf during a farm practicum 1 week before presentation. The animals had no evidence of disease. The patient reported no history of symptomatic herpes infections, recent travel or chronic illnesses. She had 2 discreet, nonpainful, well-circumscribed lesions on the dorsum of her left second and third fingers, each measuring less than 1 cm in diameter. She had a small, tender, left epitrochlear lymph node, and mild swelling and tenderness of the left wrist. The infectious differential diagnosis included herpetic whitlow (herpes simplex virus [HSV] 1 and 2); varicella zoster virus (VZV); Staphylococcus aureus; poxviruses, including orf virus (contagious ecthyma), pseudocowpox virus (milker's nodule) and bovine papular stomatitis virus; cutaneous anthrax (Bacillus anthracis); and bovine tuberculosis (Mycobacterium bovis), given her exposures.
Publisher
Elsevier Inc,CMA Impact Inc,CMA Impact, Inc
Subject
