alexa A 31 Year-Old Brazilian Man with Exanthematous Lesions | Open Access Journals
ISSN: 2157-7560
Journal of Vaccines & Vaccination
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A 31 Year-Old Brazilian Man with Exanthematous Lesions

Giliane de Souza Trindade1*, Maria Isabel Maldonado Coelho Guedes2, Galileu Barbosa Costa1, Poliana de Oliveira Figueiredo1, Jônatas Santos Abrahão1, Erna Geessien Kroon1 and Flávio Guimarães da Fonseca3

1Laboratório de Vírus, Departamento de Microbiologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Brazil

2Laboratório de Pesquisa em Virologia Animal, Escola de Veterinária, Universidade Federal de Minas Gerais, Brazil

3Laboratório de Virologia Básica e Aplicada, Departamento de Microbiologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Brazil

*Corresponding Author:
Giliane de Souza Trindade
Laboratório de Vírus, Departamento de Microbiologia
Instituto de Ciências Biológicas
Universidade Federal de Minas Gerais, Brazil
Tel: +553134092747
Fax: +553134436482
E-mail: [email protected]

Received July 15, 2014; Accepted August 12, 2014; Published August 16, 2014

Citation: Trindade GDS, Guedes MIMC, Costa GB, Figueiredo PDO, Abrahão JS, et al. (2014) A 31 Year-Old Brazilian Man with Exanthematous Lesions. J Vaccines Vaccin 5:i101. doi: 10.4172/2157-7560.1000i101

Copyright: © 2014 Trindade GDS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

A 31 year-old man, previously healthy Brazilian farm worker presented to the local public health clinic with a five day history of flulike symptoms, such as headache, malaise and myalgia, and with cutaneous lesions distributed on both hands and forearms. The patient also reported high fever and axillary lymphadenopathy on his right side. Peripheral erythema was also observed on the same arm. The lesions were in multiple stages of development ranging from papules to blister-like vesicles, pustules and ulcers. Some lesions had a purulent secretion. The patient reported direct contact with dairy cows (handling and milking), that were presenting with the same kind of ulcerative lesions. The patient received analgesics for the pain and fever and also antibiotics for topical use on the pustular lesions. Although he was not hospitalized, he was unable to work for 5-6 days, when papules and vesicular lesions turned pustules and ulcers. Around 8 days later he returned to the clinic and the pustules and ulcers had started to heal developing into black scars. The patient reported he was feeling better and was able to return to work. What is your diagnosis?

Description

A 31 year-old man, previously healthy Brazilian farm worker presented to the local public health clinic with a five day history of flu-like symptoms, such as headache, malaise and myalgia, and with cutaneous lesions distributed on both hands and forearms. The patient also reported high fever and axillary lymphadenopathy on his right side. Peripheral erythema was also observed on the same arm. The lesions were in multiple stages of development ranging from papules to blister-like vesicles, pustules and ulcers. Some lesions had a purulent secretion. The patient reported direct contact with dairy cows (handling and milking), that were presenting with the same kind of ulcerative lesions. The patient received analgesics for the pain and fever and also antibiotics for topical use on the pustular lesions. Although he was not hospitalized, he was unable to work for 5-6 days, when papules and vesicular lesions turned pustules and ulcers. Around 8 days later he returned to the clinic and the pustules and ulcers had started to heal developing into black scars. The patient reported he was feeling better and was able to return to work. What is your diagnosis?

vaccines-vaccination-Vesicular-lesion

Figure 1: Vesicular lesion on hand of dairy farm worker.

vaccines-vaccination-Axillary-lymphaenopathy

Figure 2: Axillary lymphaenopathy.

vaccines-vaccination-Pustules-umbilicated

Figure 3: Pustules with umbilicated aspect on hand of dairy farm worker.

vaccines-vaccination-Pustules-lesions

Figure 4: Pustules lesions on hand of dairy farm worker showing a central umbilicated pattern.

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