Transmission of atypical varicella-zoster virus infections involving palm and sole manifestations in an area with monkeypox endemicity.

Macneil, Adam; Reynolds, Mary G; Braden, Zach; Carroll, Darin S; Bostik, Vanda; Karem, Kevin; Smith, Scott K; Davidson, Whitni et al. · Clin Infect Dis · 2009

case_series · Level IV

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Abstract

During a suspected monkeypox outbreak in the Republic of Congo, we documented transmission of varicella-zoster virus (VZV) infection with palm and sole manifestations among 5 family members. Genotyping results confirmed the VZV strain European E2, a genotype not previously reported in Africa. VZV with palm and sole involvement should be considered when differentiating a monkeypox diagnosis.

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