Sheep-to-Human Transmission of Orf Virus during Eid al-Adha Religious Practices, France - - Emerging Infectious Disease journal - CDC
Table of Contents
Volume 19, Number 1–January 2013
Dispatch
Sheep-to-Human Transmission of Orf Virus during Eid al-Adha Religious Practices, France
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Abstract
Five persons in France were infected with Orf virus after skin wounds were exposed to infected sheep tissues during Eid al-Adha, the Muslim Feast of Sacrifice. Infections were confirmed by electron microscopy, PCR, and sequence analysis. Prevention and control of this underdiagnosed disease can be achieved by educating physicians, slaughterhouse workers, and persons participating in Eid al-Adha.The Cases
While examining case-patient 3, CF became aware that case-patients 1–3 were members of the same family and that they had butchered or handled several lambs on November 6, 2011, in preparation for Eid al-Adha (also called Eid al-Kabir), the Muslim Feast of Sacrifice. Using a smartphone, CF photographed the lesions on case-patient 3 and transmitted the photographs to 2 infectious disease specialists. The specialists indicated that the lesions appeared to be typical of parapoxvirus infection. CF interviewed case-patients 1–3 again, and they reported having knife wounds after preparing lambs for the religious feast and seeing lesions on the gums and tongue of 1 lamb. Swab (Virocult; Medical Wire and Equipment Co. Ltd., Corsham, United Kingdom) specimens were obtained from lesions on case-patients 1 and 3 and sent, along with a surgical skin biopsy specimen from case-patient 2, to the virology laboratory at Public Assistance–Hospitals of Marseille, Marseille, France.
Case-patient 4, a 64-year-old woman, sought medical care on December 9 for an ulcerovegetative lesion on the third finger of her left hand; the lesion was on the internal face of the interphalangeal joint, and phlegmon and cellulitis were present. The patient reported that she had injured herself with a kitchen knife on November 6 while butchering lamb meat for Eid al-Adha. Ten days later, she noticed vesicular lesions at the injury site; a pustule complicated by superinfection subsequently developed. The lesion was surgically excised on December 12, and skin biopsy samples were sent to the virology laboratory at Public Assistance–Hospitals of Marseille.
Case-patient 5, a 42-year-old woman, sought medical care on December 14 for a painful 2-cm papulonodular lesion on her right wrist (Figure 1, panel C). She recalled being injured on November 6 with a knife used to cut off the head of a lamb that was being prepared for Eid al-Adha. The lesion was surgically excised, and a sample was sent to the virology laboratory at Public Assistance–Hospitals of Marseille.
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