Published in
Oxford University Press, Clinical Infectious Diseases, 1(48), p. e6-e8, 2009
DOI: 10.1086/595552
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Transmission of Atypical Varicella‐Zoster Virus Infections Involving Palm and Sole Manifestations in an Area with Monkeypox Endemicity
Journal article published in 2008 by
Adam Macneil,
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
,
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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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.