Tanapocks B08.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

Synonym(s)

yaba-like disease

Definition
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Mild febrile illness caused by the tanapox virus.

Pathogen
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Tanapox virus, belonging to the smallpox virus family. No relation to the Orthopoxviridae. Biocyclus between monkeys and mosquitoes. Contact infection in humans is possible.

Occurrence/Epidemiology
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Performances mainly in Kenya, Congo and Nigeria.

Clinical features
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  • General: Incubation period: 2-24 days. Followed by fever for 2-4 days, headache, muscle pain, sweating, chills, cough, lymphadenopathy.
  • Integument: Usually 2-10 acutely occurring papular and/or vesiculopustular skin lesions, mainly localized on the extremities. At first a small red macula becomes visible, which becomes increasingly raised in the centre and changes into plaque. The centre of the papule/plaque becomes necrotic. Approximately 1 week after the initial macula becomes visible, the plaque is about 10-15 mm in size. An environmental erythema and environmental oedema are visible. With increasing duration, the plaques decay and begin to ulcerate (usually stimulated by scratching artifacts) or increase in firmness and consistency until red nodes measuring approx. 20 mm in diameter have developed. Scarred spontaneous healing of the nodules over 6-8 weeks with formation of typical "pockmarks". Secondary impetiginisation is common with ulceration.

Therapy
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Symptomatic. Treatment of pruritus, if necessary. Possibly antibiotic therapy of secondary infections.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020