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. 2009 Jan 1;48(1):e6-8.
doi: 10.1086/595552.

Transmission of atypical varicella-zoster virus infections involving palm and sole manifestations in an area with monkeypox endemicity

Adam Macneil  1 , Mary G Reynolds, Zach Braden, Darin S Carroll, Vanda Bostik, Kevin Karem, Scott K Smith, Whitni Davidson, Yu Li, Amba Moundeli, Jean-Vivien Mombouli, Aisha O Jumaan, D Scott Schmid, Russell L Regnery, Inger K Damon
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Transmission of atypical varicella-zoster virus infections involving palm and sole manifestations in an area with monkeypox endemicity

Adam Macneil et al. Clin Infect Dis. .

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.

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