title: Transmission of atypical varicella-zoster virus infections involving palm and sole manifestations in an area with monkeypox endemicity.
abstract: 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.
authors.affiliation: National Center for Zoonotic, Vector-Borne, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. aho3@cdc.gov
authors.forename: Adam
authors.initials: A
authors.lastname: Macneil
authors.forename: Mary G
authors.initials: MG
authors.lastname: Reynolds
authors.forename: Zach
authors.initials: Z
authors.lastname: Braden
authors.forename: Darin S
authors.initials: DS
authors.lastname: Carroll
authors.forename: Vanda
authors.initials: V
authors.lastname: Bostik
authors.forename: Kevin
authors.initials: K
authors.lastname: Karem
authors.forename: Scott K
authors.initials: SK
authors.lastname: Smith
authors.forename: Whitni
authors.initials: W
authors.lastname: Davidson
authors.forename: Yu
authors.initials: Y
authors.lastname: Li
authors.forename: Amba
authors.initials: A
authors.lastname: Moundeli
authors.forename: Jean-Vivien
authors.initials: JV
authors.lastname: Mombouli
authors.forename: Aisha O
authors.initials: AO
authors.lastname: Jumaan
authors.forename: D Scott
authors.initials: DS
authors.lastname: Schmid
authors.forename: Russell L
authors.initials: RL
authors.lastname: Regnery
authors.forename: Inger K
authors.initials: IK
authors.lastname: Damon
mesh_terms: 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
chemical_list: D004279:DNA, Viral