Histopathology
Tanapox virus in humans produces increased thickening of the epidermis with extensive degeneration of the prickle cell layer. The cytoplasm of the swollen epidermal cells is filled with large, pleomorphic, eosinophilic B-type inclusion bodies. Nuclei of infected cells are also swollen, with chromatin being concentrated at the nuclear periphery. Epidemiology
Human tanapox has been mostly documented in Kenya and Zaire, but it is believed to occur much more widely throughout tropical Africa. All age groups and both sexes appear to be affected by this virus. During the Kenyan epidemics of 1957 and 1962, cases of tanapox were reported more frequently among persons who worked or played close to the river. As a result of this, researchers concluded that tanapox is most likely a zoonosis. However, neither the reservoir host nor the mode of transmission from wild animal to human is known. It is hypothesized that tanapox virus may be transferred from monkeys or another reservoir host to humans by infected arthropods that act as mechanical vectors. Only one case of human to human transmission has been reported. References
Definition of Tanapox from MedicineNet.com


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Without proper treatment a permanent deformity of the finger may occur. Diagnosis
The diagnosis is generally based on symptoms and supported by X-rays. The injury can be accompanied by swelling and ecchymosis. Treatment
The management goal is to restore extension of the joint. Treatment is generally with a splint that holds the first joint of the finger straight continuously for 8 weeks. This should begin within a week of the injury. The splint may be worn just at night for a few additional weeks after this. The splint acts to immobilize flexing of the joint. Surgery generally does not improve outcomes. It may be required if the finger cannot be straightened by pushing on it or the break has pulled off more than 30% of the joint surface. Surgery may be preferred over the use of a split if a child is non-compliant. If the problem has been present a long time surgery may also be required. An open fracture may be another reason. Surgery will put the finger in a neutral position and drill a wire through the distal interphalangeal joint (DIP) to the proximal interphalangeal joint (PIP), forcing immobilization. See also
Busch fracture
Jersey finger

References


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