Figure 1

Case scenario pictures. A) Monkeypox case scenario: 23 year old male medical student with several pustular skin lesions (upper and lower extremities including volar surfaces), lymphadenopathy, fever, chills, backache, malaise; he recently returned from Democratic Republic of Congo where he examined patients with undiagnosed febrile rash illness. Photo by Dr. Janet A. Fairley, 2003. B) Orf case scenario: 42 year old male with two large nonpruritic, painless vesicular lesions on thumb and forefinger; he denies other symptoms, works on farm and recently purchased juvenile goats at auction (some of which had ulcers on their oral mucosa). Photo by Dr. Susan Meidl, 2006