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February 1969

Perianal Vaccinia With Associated Streptococcal and Staphylococcal Infection

Author Affiliations


From the divisions of infectious disease (Drs. Ruben and Wolinsky) and of dermatology (Dr. Papageorgiou), Department of Medicine, and the Department of Pediatrics (Dr. Lepow), Case Western Reserve University School of Medicine at Cleveland Metropolitan General Hospital.

Arch Dermatol. 1969;99(2):170-175. doi:10.1001/archderm.1969.01610200042007

A 2½-year-old child and his infant sibling developed febrile perianal cellulitis after the former had received a deltoid smallpox vaccination. Vaccinia virus was isolated from the perianal area in both cases, and histology of the lesions was compatible with cellulitis due to vaccinia virus. Staphlococcus aureus and group A streptococci were also recovered from the lesions.

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