Milker's nodule--case report.
Milker's nodule (noduli mulgentium) is a benign viral skin disease caused by parapoxvirus, a poxvirus that is endemic in cattle. The virus is usually transmitted to cattle handlers from infected cows. We present a case of a 25-year-old housewife who milked cows on her family farm and developed itchy, purplish red nodules on her fingers and hands, and lymphangiitis of the right arm. Two weeks before, several cows on her family farm were treated by a veterinarian under the diagnosis of pseudocowpox. She was treated with orally administered amoxicillin with clavulanic acid 2 g for 10 days, with complete resolution of lymphangiitis. The nodules resolved in several weeks.
Ceović
Romana
R
University Department of Dermatology and Venereology, Zagreb University Hospital Center and School of Medicine, Salata 4 HR-10000 Zagreb, Croatia. romana.ceovic@zg.htnet.hr
Pasić
Aida
A
Lipozencić
Jasna
J
Marinović-Kulisić
Sandra
S
Budimcić
Dragomir
D
Sviben
Mario
M
Persić
Zdenka
Z
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006229:Hand Dermatoses / Q000188:drug therapy / Q000473:pathology* / Q000821:virology; D006801:Humans; D011213:Poxviridae Infections / Q000188:drug therapy / Q000473:pathology*; D017193:Skin Diseases, Viral / Q000188:drug therapy / Q000473:pathology*
D000900:Anti-Bacterial Agents