Medpundit

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Thursday, January 30, 2003

Cow Pox: With all the attention focused on smallpox vaccine, we forget that the virus in the vaccine, vaccinia, is still present in the natural world. The New England Journal today has a case study of girl who got cowpox (sorry requires subscription) from a cat who hung around cows:

A nine-year-old girl living in a rural area who had no known exposure to cows presented with a two-week history of several painful lesions on her left forearm where she had been scratched by a free-roaming cat. Two days after the scratch, small vesicles had appeared. Within two weeks the lesions turned to pustules and then enlarged to painful, ulcerated nodules up to 2 cm in diameter and ulcers with black eschars. The patient had fever, malaise, and night sweats.... A serum sample from the child was positive for orthopoxvirus antibodies on neutralization assay and competitive enzyme-linked immunosorbent assay.

She's doing fine now.

posted by Sydney on 1/30/2003 08:36:00 AM 0 comments

Thursday, January 30, 2003

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