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RACS ASC 2024

Orf (Parapox Virus) – Ewe wouldn't want to miss it

Poster

Presentation Description

Institution: The Canberra Hospital - ACT, Australia

There is a limited literature published about human infections with Parapox Virus, and the authors felt this case highlights the responsibility and effective public health interventions and increases awareness of this condition as a differential. In Australia the sheep farming industry is a $3 billion dollar industry, with over 10,000 farms and 64 million sheep1. Proportionally 28% of Australians, live in rural and remote communities2. Farming, whether commercial or hobby, makes up a significant amount of this population. Parapox virus (colloquially - ORF), is a zoonotic virus that spreads from sheep or goats. Animals are infected in their gums, eyes, mouth and hooves. Spread to humans, is a rare documented occurrence, particularly in catchments of rural and remote patients, and should be clinically considered in the setting of chronic, non-healing wounds. We present a fit and healthy 23 year old farm-hand, who presented to our Tertiary referral centre with a non-healing, dorsal ulcer to her left ring finger associated with lymphangitis and fever. There was discomfort and localised pus expressing from her wound. The patient sustained trauma whilst handling sheep in the days prior to the onset of her symptoms, which increased from a small raised red lesion, to a discharging ulcer with superimposed infection over a 3 week time-frame. Given the lack of response to conservative management, she underwent intravenous antibiotic therapy and debridement. Post-operatively with Flucloxacillin (a penicillin beta-lactam antibiotic) – the infection responded, but her underlying wound persisted. She continued with community organised wound appointments and simple antimicrobial dressings (daily Aquacell AgTM) with a good therapeutic response 4 weeks later.

Speakers

Authors

Authors

Dr Wiktor Pilch - , Dr Hugo Loveday -