Orf is a parapoxvirus endemically found in sheep and goats. Orf can be transmitted to humans in close contact with infected animals, causing a self-limited viral skin infection known as ecythyma contagiosum. The diagnosis can be made clinically and treatment is usually conservative; however, unfamiliarity with orf may lead to an extended work-up. We present an 11-year-old male with orf infection of his index finger, to increase awareness of this diagnosis especially for healthcare providers serving rural communities.
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