[A 61-year-old woman with an infected little finger]

Abstract

A 61-year-old woman was seen at the Emergency Department with a progressive infection of the little finger. A solid hemorrhagic bulla was seen with 2 central ulcers and the diagnosis 'ecthyma contagiosum' was made. This is a self-limiting infection caused by a parapoxvirus in sheep and can be transmitted to humans through direct contact with infected animals.