A 21-year-old immunocompetent woman developed a cowpox infection, while working as a veterinarian's assistant in a rural area. She had never received vaccinia immunization and came in contact with a fatally-infected house cat. Under symptomatic treatment, the infection remained localized to one cheek and cleared over 3 weeks with substantial dermal-subcutaneous tissue destruction. Orthopoxvirus detection by PCR is a modern diagnostic standard, in addition to identification by negative-contrast electron microscopy. A promising therapeutic option is ciclofovir, but this virostatic drug is not yet approved for the treatment of cowpox.
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Univ Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Hobi, S.
Mueller, R. S.
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Univ Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Mueller, R. S.
Hill, M.
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Univ Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Hill, M.
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Nitsche, A.
Loescher, T.
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Univ Munich, Dept Infect Dis & Trop Med, Univ Hosp, D-80539 Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Loescher, T.
Guggemos, W.
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Schwabing Hosp, Dept Infect Dis & Trop Med, Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Guggemos, W.
Staender, S.
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Univ Munster, Dept Dermatol, D-48149 Munster, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Staender, S.
Rjosk-Dendorfer, D.
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Univ Munich, Dept Clin Radiol, D-80539 Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany
Rjosk-Dendorfer, D.
Wollenberg, A.
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Univ Munich, Dept Dermatol & Allergol, D-80539 Munich, GermanyUniv Munich, Small Anim Med Clin, Ctr Clin Vet Med, D-80539 Munich, Germany