ORF Nodule Complicated by Erythema Multiforme: About 2 Cases
Journal Title: Journal of Dermatology Research - Year 2023, Vol 4, Issue 2
Abstract
ORF nodule is a disease caused by a parapoxvirus ovis with epithelial tropism which is transmitted to humans from sick animals, sheep and goats, suffering from contagious ovine pustular dermatosis ecthyma [1]. Common complications of ORF infection have been reported, including secondary bacterial infection, lymphadenopathy, lymphangitis, more rarely erythema multiforme and bullous pemphigoid [2]. We describe here two cases of ORF nodule with secondary erythema multiforme. A 35-year-old man with no pathological history presented to the emergency department for a diffuse pruritic papulo-vesicular eruption without mucosal involvement in a context of fever. The interrogation reveals that lesion has been appeared at the level of the 4th finger 2 weeks before and 3 days after contact with a sheep that seemed to be in good health. On examination, there was a purplish and eroded nodule taking on the dorsal surface of his right middle finger (Fig. 1), cockades and pseudo-cockades scattered all over the body with an acral predominance without involvement of the mucous membranes (Fig. 1). At the level of the internal face of the left arm, we noted metameric vesicles arranged on the arm. The diagnosis of ORF and erythema multiforme associated with shingles on the left arm was retained. A biological assessment of immunosuppression was carried out, returning without particularity. The patient was put on injectable antibiotic therapy, curative antiviral and local care, the evolution was marked by a good improvement.
Authors and Affiliations
Boularbah Siham, Douhi Zakia, Kaoutar Elfid, Soughi Meryem, Elloudi Sara, Baybay Hanane, Mernissi Fatima Zahra
Keywords
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- EP ID EP718830
- DOI https://doi.org/10.46889/JDR.2023.42012
- Views 59
- Downloads 0
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