Pseudocowpox
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Pseudocowpox is a disease caused by the Paravaccinia virus or Pseudocowpox virus, a
virus A virus is a submicroscopic infectious agent that replicates only inside the living Cell (biology), cells of an organism. Viruses infect all life forms, from animals and plants to microorganisms, including bacteria and archaea. Viruses are ...
of the family ''
Poxviridae ''Poxviridae'' is a family of double-stranded DNA viruses. Vertebrates and arthropods serve as natural hosts. The family contains 22 genera that are assigned to two subfamilies: ''Chordopoxvirinae'' and ''Entomopoxvirinae''. ''Entomopoxvirinae'' ...
'' and the genus ''
Parapoxvirus ''Parapoxvirus'' is a genus of viruses, in the family ''Poxviridae'', in the subfamily ''Chordopoxvirinae''. Like all members of the family Poxviridae, they are oval, relatively large, double-stranded DNA viruses. Parapoxviruses have a unique sp ...
''. Humans can contract the virus from contact with livestock infected with
Bovine papular stomatitis Bovine papular stomatitis is a zoonotic farmyard pox caused by Bovine papular stomatitis virus (BPSV), which can spread from infected cattle to cause disease in milkers, farmers and veterinarians. Generally there are usually one or multiple skin ...
and the disease is common among ranchers, milkers, and veterinarians. Infection in humans will present with fever, fatigue, and lesion on the skin.


Signs and symptoms

Paravaccinia virus presents itself with blisters, nodules, or lesions about 4 mm in diameter, typically in the area that has made contact with livestock that is infected with
bovine papular stomatitis Bovine papular stomatitis is a zoonotic farmyard pox caused by Bovine papular stomatitis virus (BPSV), which can spread from infected cattle to cause disease in milkers, farmers and veterinarians. Generally there are usually one or multiple skin ...
. Lesions may begin forming as late as three weeks after contact has been made with an infected animal. In rare cases, lesions may be seen systemic. General signs of infection are also common, such as fever and fatigue. Infected livestock may present with blisters or lesions on their udders or snout. Often, however, infected livestock show little to no symptoms.


Mechanism

Paravaccinia is a member of the ''
Parapoxvirus ''Parapoxvirus'' is a genus of viruses, in the family ''Poxviridae'', in the subfamily ''Chordopoxvirinae''. Like all members of the family Poxviridae, they are oval, relatively large, double-stranded DNA viruses. Parapoxviruses have a unique sp ...
'' genus. It has a cylindrical body about 140 X 310 nm in size, with convex ends covered in a criss-cross pattern of rope like structures. The virus is resistant to cold, dehydration, and temperatures up to 56 °C. Upon injecting a cell with its genome, the virus begins transcription in the
cytoplasm The cytoplasm describes all the material within a eukaryotic or prokaryotic cell, enclosed by the cell membrane, including the organelles and excluding the nucleus in eukaryotic cells. The material inside the nucleus of a eukaryotic cell a ...
using viral
RNA polymerase In molecular biology, RNA polymerase (abbreviated RNAP or RNApol), or more specifically DNA-directed/dependent RNA polymerase (DdRP), is an enzyme that catalyzes the chemical reactions that synthesize RNA from a DNA template. Using the e ...
. As the virus progresses through the cell, the host begins to replicate the viral genome between 140 minutes and 48 hours.


Diagnosis

Diagnosis of paravaccinia virus will often come from
Polymerase chain reaction The polymerase chain reaction (PCR) is a method widely used to make millions to billions of copies of a specific DNA sample rapidly, allowing scientists to amplify a very small sample of DNA (or a part of it) sufficiently to enable detailed st ...
screening ordered by their physician. However, due to how common paravaccinia virus is in rural areas, individuals typically do not seek professional help in diagnosis. Instead individuals may refer to people with local knowledge of the cattle in their area such as ranchers, or veterinarians who have some familiarity with the infections in the region. It may appear similar to
cowpox Cowpox is an infectious disease caused by Cowpox virus (CPXV). It presents with large blisters in the skin, a fever and swollen glands, historically typically following contact with an infected cow, though in the last several decades more often ...
and orf.


Cause and prevention

Paravaccinia virus originates from livestock infected with
bovine papular stomatitis Bovine papular stomatitis is a zoonotic farmyard pox caused by Bovine papular stomatitis virus (BPSV), which can spread from infected cattle to cause disease in milkers, farmers and veterinarians. Generally there are usually one or multiple skin ...
. When a human makes physical contact with the livestock's muzzle, udders, or an infected area, the area of contact will become infected. Livestock may not show symptoms of bovine papular stomatitis and still be infected and contagious. Paravaccinia can enter the body though all pathways including: skin contact by mechanical means, through the respiratory tract, or orally. Oral or respiratory contraction may be more likely to cause systemic symptoms such as lesions across the whole body A person who has not previously been infected with paravaccinia virus should avoid contact with infected livestock to prevent contraction of disease. There is no commercially available vaccination for cattle or humans against paravaccinia. However, following infection, immunization has been noted in humans, making re-infection difficult. Unlike other pox viruses, there is no record of contracting paravaccinia virus from another human. Further, cattle only show a short immunization after initial infection, providing opportunity to continue to infect more livestock and new human hosts.


Treatment and prognosis

Lesions of paravaccinia virus will clear up with little to no scarring after 4 to 8 weeks. An antibiotic may be prescribed by a physician to help prevent bacterial infection of the lesion area. In rare cases, surgical removal of the lesions can be done to help increase rate of healing, and help minimize risk of bacterial or fungal infection. Upon healing, no long term side effects have been reported.


History

Paravaccinia virus was first characterized in by
Edward Jenner Edward Jenner (17 May 1749 – 26 January 1823) was an English physician and scientist who pioneered the concept of vaccines and created the smallpox vaccine, the world's first vaccine. The terms ''vaccine'' and ''vaccination'' are derived f ...
in 1799 with the presence of lesions on humans, later described as
Milker's nodule Milker's nodules are a cutaneous condition that is most commonly transmitted from the udders of infected cows. Milker's nodule is caused by Paravaccinia virus. The disease in humans is nearly identical to Orf. __TOC__ Pathogen Milker's nodules ...
. Jenner associated the lesions found on human who had contact with infected cattle. Since first being characterized in cows, bovine papular stomatitis has been isolated in sheep, goats, and
red deer The red deer (''Cervus elaphus'') is one of the largest deer species. A male red deer is called a stag or Hart (deer), hart, and a female is called a doe or hind. The red deer inhabits most of Europe, the Caucasus Mountains region, Anatolia, Ir ...
creating new potential sources for human infection. Bolvine papular stomatitis has been reported in the United States of America, Great Britain, Brazil, Switzerland, and Japan.


Disease in animals

Pseudocowpox is a worldwide disease of
cattle Cattle (''Bos taurus'') are large, domesticated, bovid ungulates widely kept as livestock. They are prominent modern members of the subfamily Bovinae and the most widespread species of the genus '' Bos''. Mature female cattle are calle ...
. Symptoms include ring or horseshoe shaped scabs on the
teat A teat is the projection from the mammary glands of mammals from which milk flows or is ejected for the purpose of feeding young. In many mammals, the teat projects from the udder. The number of teats varies by mammalian species and often corr ...
s, which usually heal within six weeks. Lesions may also develop on the muzzles and in the mouths of nursing calves. Spread is by
fomite A fomite () or fomes () is any inanimate object that, when contaminated with or exposed to infectious agents (such as pathogenic bacteria, viruses or fungi), can transfer disease to a new host. Transfer of pathogens by fomites A fomite is any ...
s, including hands, calves' mouths, and milking machines. Lesions may also appear on the hands of milkers, a clinical presentation known as milker's nodule. This disease in humans is nearly identical to orf.


References

{{Taxonbar, from1=Q17476605, from2=Q24975674 Chordopoxvirinae