Animals Involved
Sheep, goats, camelids, reindeer, wild ungulates; rare cases in dogs
Known Distributions
Worldwide
Probable Means of Spreading
Occupational exposure via contact with broken skin (both live animals and meat processing)
Clinical Manifestations in People
Papule(s) that umbilicate and ulcerate, usually on hands; dissemination rare; large lesions refractory to treatment can be seen in immunosuppressed