Cowpox: How dangerous could it be for humans? Case report
Cowpox is a rare zoonosis transmitted to humans mainly from cats. The disease usually causes skin lesions; however, the ocular form may lead to other serious complications.We describe a case of cowpox in a rare location of the upper eyelid of an immunocompetent male, which lead to necrosis of the up...
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doaj-2456da759908412f935250ca38c714d42021-03-27T04:25:37ZengElsevierInternational Journal of Infectious Diseases1201-97122021-03-01104239241Cowpox: How dangerous could it be for humans? Case reportDagny C. Krankowska0Piotr A. Woźniak1Aneta Cybula2Justyna Izdebska3Magdalena Suchacz4Katarzyna Samelska5Alicja Wiercińska-Drapało6Jacek P. Szaflik7Department of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Hospital for Infectious Diseases, Wolska 37, 01-201 Warsaw, Poland; Corresponding author at: Elektoralna 26/61, 00-892 Warsaw, Poland.Ophthalmic University Hospital Warsaw (SPKSO), Warsaw, PolandDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Hospital for Infectious Diseases, Wolska 37, 01-201 Warsaw, PolandDepartment of Ophthalmology, Medical University of Warsaw, Ophthalmic University Hospital (SPKSO), Marszałkowska 24/26, 00-576 Warsaw, Poland; Ophthalmic University Hospital Warsaw (SPKSO), Warsaw, PolandDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Hospital for Infectious Diseases, Wolska 37, 01-201 Warsaw, PolandDepartment of Ophthalmology, Medical University of Warsaw, Ophthalmic University Hospital (SPKSO), Marszałkowska 24/26, 00-576 Warsaw, Poland; Ophthalmic University Hospital Warsaw (SPKSO), Warsaw, PolandDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Hospital for Infectious Diseases, Wolska 37, 01-201 Warsaw, PolandDepartment of Ophthalmology, Medical University of Warsaw, Ophthalmic University Hospital (SPKSO), Marszałkowska 24/26, 00-576 Warsaw, PolandCowpox is a rare zoonosis transmitted to humans mainly from cats. The disease usually causes skin lesions; however, the ocular form may lead to other serious complications.We describe a case of cowpox in a rare location of the upper eyelid of an immunocompetent male, which lead to necrosis of the upper eyelid, keratitis and leucomatous opacity, and the neovascularization of the cornea. The patient underwent several surgeries, including reconstruction surgery of the eyelids, correction of the medial canthus, and corneal neurotization with supraorbicular nerve transplantation.Suspicion of cowpox should be made in patients where there are poorly healing skin lesions accompanied by a painful black eschar with erythema and local lymphadenopathy. Ocular cowpox may lead to serious complications and possibly mimic anthrax. Diagnosis of cowpox can be confirmed by detection of cowpox virus DNA by polymerase chain reaction. Patients should be advised to protect themselves while handling sick animals.http://www.sciencedirect.com/science/article/pii/S1201971220325868CowpoxOcular cowpoxZoonosisBlack eschar |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dagny C. Krankowska Piotr A. Woźniak Aneta Cybula Justyna Izdebska Magdalena Suchacz Katarzyna Samelska Alicja Wiercińska-Drapało Jacek P. Szaflik |
spellingShingle |
Dagny C. Krankowska Piotr A. Woźniak Aneta Cybula Justyna Izdebska Magdalena Suchacz Katarzyna Samelska Alicja Wiercińska-Drapało Jacek P. Szaflik Cowpox: How dangerous could it be for humans? Case report International Journal of Infectious Diseases Cowpox Ocular cowpox Zoonosis Black eschar |
author_facet |
Dagny C. Krankowska Piotr A. Woźniak Aneta Cybula Justyna Izdebska Magdalena Suchacz Katarzyna Samelska Alicja Wiercińska-Drapało Jacek P. Szaflik |
author_sort |
Dagny C. Krankowska |
title |
Cowpox: How dangerous could it be for humans? Case report |
title_short |
Cowpox: How dangerous could it be for humans? Case report |
title_full |
Cowpox: How dangerous could it be for humans? Case report |
title_fullStr |
Cowpox: How dangerous could it be for humans? Case report |
title_full_unstemmed |
Cowpox: How dangerous could it be for humans? Case report |
title_sort |
cowpox: how dangerous could it be for humans? case report |
publisher |
Elsevier |
series |
International Journal of Infectious Diseases |
issn |
1201-9712 |
publishDate |
2021-03-01 |
description |
Cowpox is a rare zoonosis transmitted to humans mainly from cats. The disease usually causes skin lesions; however, the ocular form may lead to other serious complications.We describe a case of cowpox in a rare location of the upper eyelid of an immunocompetent male, which lead to necrosis of the upper eyelid, keratitis and leucomatous opacity, and the neovascularization of the cornea. The patient underwent several surgeries, including reconstruction surgery of the eyelids, correction of the medial canthus, and corneal neurotization with supraorbicular nerve transplantation.Suspicion of cowpox should be made in patients where there are poorly healing skin lesions accompanied by a painful black eschar with erythema and local lymphadenopathy. Ocular cowpox may lead to serious complications and possibly mimic anthrax. Diagnosis of cowpox can be confirmed by detection of cowpox virus DNA by polymerase chain reaction. Patients should be advised to protect themselves while handling sick animals. |
topic |
Cowpox Ocular cowpox Zoonosis Black eschar |
url |
http://www.sciencedirect.com/science/article/pii/S1201971220325868 |
work_keys_str_mv |
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