Öz
Mehmet Uluğ, Murat Selim Ürer, Memet Erşan Bilgili Orf is a viral infection transmitted to humans from sheep and goats. In this report, three cases with orf were presented. Two of our patients had lesions on only one hand, whereas one patient had additional lesions on the other hand. The lesions were most commonly located on the dorsal aspect of the fingers and typically started as a painless itchy macule that became papular and, subsequently, purulent with a necrotic center. The lesions were managed conservatively, and no specific therapy was undertaken. The lesions regressed spontaneously and slowly without scarring during the next five weeks. In conclusion, we are of the opinion that human infection with orf will continue to occur, and can occur anywhere; thus, all physicians should be aware of the possibility of orf infection and consider orf in the differential diagnosis of cases with relevant animal exposure.
Anahtar Kelimeler
Kaynakça
- Damon IK. Other poxviruses that infect humans: Parapox- viruses, Molluscum contagiosum, and Yatapoxviruses. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseas- es, 7th edn. Philadelphia: Churchill Livingstone Elsevier, 2010:1933-1936.
- Bayındır Y, Bayraktar M, Karadağ N, et al. Investigation and analysis of a human orf outbreak among people living on the same farm. New Microbiologica 2011;34:37-43.
- Uzel M, Sasmaz S, Bakaris S, et al. A viral infection of the hand commonly seen after the feast of sacrifice: human orf (orf of the hand). Epidemiol Infect 2005;133:653-657.
- Buller RML. Poxviruses. In Cohen J, Powderly WG, Opal SM, eds. Infectious Disease, 3rd edn. Philadelphia: Mosby Else- vier, 2010: 1577-1582.
- Ünal G, Gündeş S, Üstün M. Human orf: Echtyma contagio- sum report of five cases. Turk J Med Sci 2002;32:173-175.
- Gurel MS, Ozardali I, Bitiren M, San I, Zeren H. Giant orf on the nose. Eur J Dermatol 2002;12:183-185.
- Nadeem M, Curran P, Cooke R, Ryan CA, Connolly K. Orf: contagious pustular dermatitis. Ir Med J 2010;103:152-153.
- Karakaş A, Turhan V, Küçükodacı Z. Human orf: Report of two cases. TAF Prev Med Bull 2010;9: 551–552.
- Lo C, Mathisen G. Human orf in Los Angeles County. West J Med 1996;164:77-78.
- Maki A Jr, Hinsberg A, Percheson P, Marshall DG. Orf: conta- gious pustular dermatitis. CMAJ 1988;139:971–972.
Öz
Orf, koyun ve keçilerden insanlara bulaşan viral bir hastalıktır. Bu çalışmada ellerinde orf lezyonları gelişen üç olgu sunuldu. İki olguda lezyonlar yalnızca bir elde varken, üçüncü olguda her iki elde lezyonlar vardı. Lezyonlar genellikle parmakların dorsal yüzünde görülürken, tipik olarak ağrısız, kaşıntılı makül şeklinde ortaya çıkıp sonrasında papül ve pürülan nekrotik merkezli bir hale geldi. Lezyonlara yönelik spesifik bir tedavi uygulanmadı ve konservatif olarak yaklaşıldı. Lezyonlar, skar dokusu bırakmadan beş hafta içerisinde kendiliğinde yavaş yavaş geriledi. Sonuç olarak, orf enfeksiyonunun insanlarda görülmeye devam edeceğini ve tüm hekimlerin lezyonların her yerde görülebileceğini unutmadan hayvan teması olan olgularda orf hastalığını ayırıcı tanıda göz önünde bulundurmaları gerektiğini düşünmekteyiz
Anahtar Kelimeler
Kaynakça
- Damon IK. Other poxviruses that infect humans: Parapox- viruses, Molluscum contagiosum, and Yatapoxviruses. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseas- es, 7th edn. Philadelphia: Churchill Livingstone Elsevier, 2010:1933-1936.
- Bayındır Y, Bayraktar M, Karadağ N, et al. Investigation and analysis of a human orf outbreak among people living on the same farm. New Microbiologica 2011;34:37-43.
- Uzel M, Sasmaz S, Bakaris S, et al. A viral infection of the hand commonly seen after the feast of sacrifice: human orf (orf of the hand). Epidemiol Infect 2005;133:653-657.
- Buller RML. Poxviruses. In Cohen J, Powderly WG, Opal SM, eds. Infectious Disease, 3rd edn. Philadelphia: Mosby Else- vier, 2010: 1577-1582.
- Ünal G, Gündeş S, Üstün M. Human orf: Echtyma contagio- sum report of five cases. Turk J Med Sci 2002;32:173-175.
- Gurel MS, Ozardali I, Bitiren M, San I, Zeren H. Giant orf on the nose. Eur J Dermatol 2002;12:183-185.
- Nadeem M, Curran P, Cooke R, Ryan CA, Connolly K. Orf: contagious pustular dermatitis. Ir Med J 2010;103:152-153.
- Karakaş A, Turhan V, Küçükodacı Z. Human orf: Report of two cases. TAF Prev Med Bull 2010;9: 551–552.
- Lo C, Mathisen G. Human orf in Los Angeles County. West J Med 1996;164:77-78.
- Maki A Jr, Hinsberg A, Percheson P, Marshall DG. Orf: conta- gious pustular dermatitis. CMAJ 1988;139:971–972.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2013 |
| Yayımlandığı Sayı | Yıl 2013 |