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Contagious Ecthyma
Contagious Ovine Ecthymaa

Presentation

The typical lesion of orf presents with an initial erythematous macule. [ijdvl.com]

A 34-year-old farmer presented to our emergency department with a painful rash with purulent-appearing papules on his hands (Panels A and B). The rash had been worsening over the previous 2 1 / 2 weeks. [nejm.org]

Orf generally manifests as solitary lesions on hands and fingers, but it may rarely present as multiple nodular lesions. Here we present the case of a 42-year-old man diagnosed with orf based on clinical and histopathological findings. [jpma.org.pk]

Deba P Sarma, MD Omaha A 61-year-old sheep farmer presented with a painful nonpruritic on the left hand that lesion had been present for approximately 5 weeks. [scribd.com]

Clinical presentation: Several lesions may be present in the one area. A mature lesion is nodular with central umbilication and an erythematous halo. [histopathology-india.net]

Skin

  • Eruptions

    However, rare complications such as lymphangitis, adenitis, erythema multiforme, toxic erythema, erysipelas, papulovesicular eruption. Pseudomonas aeruginosa infection, and bullous pemphigoid have been reported. [histopathology-india.net]

    Sheep Diseases Orf Virus in Sheep Also known as: Contagious Pustular Dermatitis, Contagious Ecthyma Orf is a highly contagious eruptive skin condition of sheep and goats, but various other ruminants and mammals have been reported to be infected as well [farmhealthonline.com]

    Bullous Impetigo Diagnosis Distinguishing features Bullous erythema multiforme Vesicles or bullae arise from a portion of red plaques, 1 to 5 cm in diameter, on the extensor surfaces of extremities Bullous lupus erythematosus Widespread vesiculobullous eruption [aafp.org]

    A Case of Orf Disease Complicated with Erythema Multiforme and Bullous Pemphigoid-Like Eruptions. Case Rep Infect Dis. 2015. 2015:105484. [Medline]. Murphy JK, Ralfs IG. Bullous pemphigoid complicating human orf. [emedicine.medscape.com]

  • Skin Ulcer

    The term impetiginisation is used for superficial secondary infection of a wound or other skin condition. Ulcerated impetigo is called ecthyma. What causes impetigo? Impetigo is most often caused by Staphylococcus aureus. [dermnetnz.org]

Treatment

Usually only protective treatment is required, but x-ray therapy will produce prompt regression of the skin lesions. [ncbi.nlm.nih.gov]

It is pointed out that the method of virus treatment can be employed to determine the biologic potential of productional batches of ecthyma contagiosa vaccine. [aspergillus.org.uk]

Treatment of impetigo and ecthyma. [eurekamag.com]

Treatment Treatment of contagious ecythyma is usually supportive, include broad-spectrum antimicrobial therapy. Cattle are generally immune to reinfection but vaccines re available to minimise outbreaks in susceptible or naive herds. [vetbook.org]

Prognosis

One of the affected sheep was euthanized due to the poor prognosis. At necropsy, the lesions observed clinically were confirmed. Histopathology of the skin in the lips and muzzles showed marked acanthosis of the epidermis, [...] [bvs-vet.org.br]

Prognosis Healing is slow with scar formation but response to appropriate antibiotics occurs over several weeks. Prevention In tropical climates, pay attention to hygiene and use insect repellents to reduce bites. [patient.info]

The most common is the Muslim practice of Eid ul-Adha, but it also has been reported in Jewish Passover and Christian Easter celebrations. [20, 21, 22, 23] Prognosis The prognosis of orf is excellent. [emedicine.medscape.com]

[…] epidermis Varicella Thin-walled vesicles on an erythematous base that start on trunk and spread to face and extremities; vesicles break and crusts form; lesions of different stages are present at the same time in a given body area as new crops develop Prognosis [aafp.org]

Etiology

For this reason, and upon reaching the etiologic agent of the disease described in this report, it was necessary to discard the presence of other diseases. [scielo.org.co]

ETIOLOGY: Ovine parapoxvirus (orf virus) ETIOLOGIC DIAGNOSIS: Parapoxviral dermatitis CONDITION: Contagious ecthyma SYNONYMS : Contagious pustular dermatitis, soremouth, orf (Old English for "rough"), infectious labial dermatitis, scabby mouth, lippengrind [askjpc.org]

[…] impetigo contagiosa (non-bullous impetigo) and bullous impetigo Epidemiology Non-bullous impetigo comprises > 70% of all cases of impetigo ( An Bras Dermatol 2014;89:293 ) Primarily an endemic disease in school-aged children, but may occur in epidemics Etiology [pathologyoutlines.com]

I have witnessed throughout the years several cases when, unaware of the true etiology of the condition, medics went over to surgical treatment, aggravating situations that could be resolved by dressings and antiseptics. [healio.com]

Etiology The infectious agent is orf virus (genus Parapoxvirus, species orf), a common infection of sheep and goats. Infection of an immunocompetent human leads to a localized, self-limited infection. [dermatologyadvisor.com]

Epidemiology

Epidemiological investigation and phylogenetic analyses of contagious ecthyma virus from goat in Bangladesh. Asian Journal of Medical and Biological Research, 2 (4), 555-561. https://doi.org/10.3329/ajmbr.v2i4.30996 [banglajol.info]

This report describes the epidemiological, clinical, and anatomopathological aspects of an outbreak of contagious echtyma in sheep in the State of Rio Grande do Sul, Brazil. Case: Cases were observed on January and February of 2016. [bvs-vet.org.br]

The epidemiology, pathogenesis, diagnosis, and prophylaxis of contagious ecthyma are discussed. Keywords : ecthyma ; viral diseases ; poxviridae ; sheep diseases . [scielo.br]

[…] in Humans Disease in Animals Prevention and Control In today’s presentation we will cover information regarding the organism that causes contagious ecthyma and its epidemiology. [slideplayer.com]

“Diagnosis of bovine parapoxvirus infections in humans: molecular and epidemiologic evidence”. Zoonoses Public Health. vol. 57. 2010. pp. e161-4. [dermatologyadvisor.com]

Pathophysiology

Pathophysiology Parapoxviruses are not able to penetrate intact skin, so the portal of entry may be created when an individual removes brambles from an animal’s wool, has a pre-existing break in the cuticle or skin, or sustains a bite. [dermatologyadvisor.com]

Pathophysiology Orf is caused by infection with the orf virus that belongs to the Parapoxvirus genus, which also includes the milker's nodule virus. [5] Parapoxvirus is a member of the family Poxviridae, which are double-stranded DNA viruses known to [emedicine.medscape.com]

Prevention

To prevent recurrent infection, the patient was advised to use gloves when he handled the animals or any potentially contaminated equipment. [nejm.org]

Source: Centers for Disease Control and Prevention. [slideplayer.com]

Concern for the effects of this disease and Q fever on patients having contact with contaminated medical researchers prompted the formulation of safety guidelines to prevent potentially disastrous zoonotic disease. [ncbi.nlm.nih.gov]

How is it prevented? New animals entering the herd should be quarantined (3-4 weeks) before mixing with other animals on the farm. Remember, "Buyer Beware" if you are considering purchasing animals. [omafra.gov.on.ca]

Treatment/Prevention: Because the infection will usually clear on its own, treatment of CE focuses on helping the severely affected animals. [infovets.com]

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