Molluscum contagiosum pathophysiology
Molluscum contagiosum Microchapters |
Diagnosis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
This is a common infection in children and occurs when a child comes into direct contact with a lesion. The virus can spread through contact with contaminated objects, such as towels, clothing, or toys. The virus also spreads by sexual contact. Persons with a weakened immune system (due to conditions such as AIDS) may have a rapidly worse case of molluscum contagiosum.
Pathophysiology
The time from infection to the appearance of lesions ranges from 1 week to 6 months, with an average incubation period of 6 weeks. Diagnosis is made on the clinical appearance.
Transmission
In adults, molluscum infections are often sexually transmitted and usually affect the genitals, lower abdomen, buttocks, and inner thighs. In rare cases, molluscum infections are also found on the lips, mouth, and eyelids. It is spread through direct contact or shared articles of clothing (including towels).
Virology
MC has no animal reservoir, infecting only humans, as did smallpox. However, there are different pox viruses that infect many other mammals. The infecting human MC virus is a DNA poxvirus called the molluscum contagiosum virus (MCV). There are 4 types of MCV, MCV-1 to -4, with MCV-1 being the most prevalent and MCV-2 seen usually in adults and often sexually transmitted. The virus cannot routinely be cultured.