Transmission of atypical varicella-zoster virus infections involving palm and sole manifestations in an area with monkeypox endemicity.
During a suspected monkeypox outbreak in the Republic of Congo, we documented transmission of varicella-zoster virus (VZV) infection with palm and sole manifestations among 5 family members. Genotyping results confirmed the VZV strain European E2, a genotype not previously reported in Africa. VZV with palm and sole involvement should be considered when differentiating a monkeypox diagnosis.
Macneil
Adam
A
National Center for Zoonotic, Vector-Borne, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. aho3@cdc.gov
Reynolds
Mary G
MG
Braden
Zach
Z
Carroll
Darin S
DS
Bostik
Vanda
V
Karem
Kevin
K
Smith
Scott K
SK
Davidson
Whitni
W
Li
Yu
Y
Moundeli
Amba
A
Mombouli
Jean-Vivien
JV
Jumaan
Aisha O
AO
Schmid
D Scott
DS
Regnery
Russell L
RL
Damon
Inger K
IK
D000293:Adolescent; D000328:Adult; D002648:Child; D003223:Congo / Q000453:epidemiology; D004279:DNA, Viral / Q000235:genetics; D003937:Diagnosis, Differential; D005192:Family Health; D005260:Female; D005838:Genotype; D006225:Hand / Q000473:pathology*; D006562:Herpes Zoster / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000635:transmission*; D014645:Herpesvirus 3, Human / Q000145:classification / Q000235:genetics / Q000302:isolation & purification; D006801:Humans; D007223:Infant; D007866:Leg / Q000473:pathology*; D008297:Male; D045908:Mpox, Monkeypox / Q000175:diagnosis; D010802:Phylogeny
D004279:DNA, Viral