Last Updated: 2020-11-19
Zoonosis caused by the poxvirus bovis (orthopoxvirus). The main pathogen reservoir is rodents (e.g. rats), but humans, cats and cattle can be infected.
- Risk groups: Atopic, immunosuppressed patients.
Transmission occurs via rodents and cattle, but mainly via cats. Skin lesions serve as entry ports.
After erythema, papulovesicles and pustules occur, ulceration occurs (after approx. 2 weeks). In addition to local swelling, painful lymphadenitis is often seen. Sometimes a reduced general condition, febrile temperatures and eye involvement can be observed.
Clinic, electron microscopy (negative contrast), serology, pathogen detection.
- In almost 50% of cases the hands or fingers are affected, otherwise the face and neck.
- Topically antiseptic
Approved systemic drugs do not exist. Cidovir showed efficacy in studies, but its use is to be discussed due to potentially lethal side effects.
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