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Parapoxvirus infections of red deer, Italy.

The genus Parapoxvirus (family Poxviridae, subfamily Chordopoxvirinae) comprises several members: orf virus (OV), bovine papular stomatitis virus (BPSV), pseudocowpox virus (PCPV), and parapox of red deer in New Zealand virus (PVNZ). PVNZ is responsible for a contagious pustular dermatitis in farmed red deer, with outbreaks reported only in New Zealand (1). Cases of parapoxvirus (PPV) pustular stomatitis were reported in wild ruminants in Stelvio Park in the Italian Alps during 2008. The affected animals had erosions and ulcers in the mouth, which led to death by starvation, particularly during the winter. Similar cases have also been described during 1992 in Finland and Norway in reindeer (Rangifer tarandus). Recently, the causative viruses of the clinical forms in reindeer were shown to be closely related to OV virus and PCPV, excluding the circulation of PVNZ in these countries (2,3).

To characterize the PPV agents causing severe disease in wild ruminants of Stelvio Park, we sequenced and compared the DNA of several isolates. Results showed that the viruses isolated from chamois (Rupicapra rupicapra) and ibex (Capra ibex) were closely related to OV, whereas the isolates from red deer (Cervus elaphus) grouped with PVNZ. Our findings provide new information about the diffusion of PPVs in wild ruminants and evidence that PVNZ is circulating outside New Zealand.

The Study

Cases of a severe contagious stomatitis were reported during winter 2008-09 in wild ruminants of Stelvio Park, Italy. Some affected animals were found dead with proliferative lesions, erosions, and ulcers on the lips and on the hard palate (Figure 1).

Samples collected for pathologic examination from 3 red deer, 2 chamois, and 1 ibex were submitted to Istituto Zooprofilattico della Lombardia e dell'Emilia Romagna (Brescia, Italy) for identification of the causative agent of the disease. Viral particles, identified by morphologic features as PPV, were observed by negative stain electron microscopy in the material collected for pathologic examination from all the affected animals.

After injection into primary lamb keratinocytes (4), the viruses showed signs of cytopathic effect after at least 1 week. PCR was used to amplify the PPV B2L gene encoding a major envelop protein (3,5), and a specific amplification product has been obtained from all the isolates. To further characterize the viral DNA, we sequenced the PCR products and compared them with several Chordopoxvirinae homologue sequences of field and reference strains (Table). The PPV isolates from chamois and ibex were closely related to OV with 98.2%-99.3% identity at the nt level and 97.3%-98.4% identity at the aa level, compared with the reference strain OV NZ2. These results confirm little or no variations between PPVs that originate from different animal species and from different geographic areas as we and others already have reported (2-6).

Surprisingly, the B2L sequences of the 3 red deer isolates showed 100% identity with that of PVNZ RD86, suggesting that PVNZ could be the cause of the disease. To support this preliminary evidence, we further characterized the red deer viral strains. We amplified the vascular endothelial growth factor (VEGF) gene of the red deer isolates (7), which enabled us to obtain a specific amplification product from all 3 viral strains. The VEGF sequence of strain 348/09 showed 100% identity with PVNZ RD86, and strains 256/08 and 168/09 were 97.8% and 99.6% identical at the nt level and 96.55 and 98.8% identical at the aa level, respectively, which showed that multiple strains are circulating in Stelvio Park.

The classification of PVNZ as a new species of PPV originally was based on comparisons of restriction endonuclease digestion profiles and DNA hybridization analysis (8). Sequence analysis performed on the 2 genes of the 3 red deer isolates of Stelvio Park, confirmed the already reported genetic distance between PVNZ and the other PPV species (3,7). In particular, the phylogenetic analysis performed on the B2L gene showed that PVNZ sequences are closely related to BPSV (Figure 2, panel A), whereas the analyses conducted on the VEGF gene demonstrated a greater similarity between PVNZ, PCPV, and NZ-7-like VEGF variants (Figure 2, panel B). The latter analysis contributes to clarify the sequence relatedness between the 3 PPV species at the level of this gene, which further supports the hypothesis that PVNZ VEGF could have been acquired by natural recombination (7).



We demonstrated that the outbreaks of papular stomatitis in wild ruminants from Stelvio Park resulted from different PPV species: OV is the causative agent in chamois and ibex, and PVNZ caused the disease in red deer. Our results confirm that wild ruminants are susceptible to OV (4). This additional observation seems to prove that viruses isolated from chamois and ibex represent an adaptation of the same virus infecting domestic species rather than a separate viral species, despite the fact that the cause of contagious ecthyma in chamois is still considered a tentative species among the PPV genus by official taxonomy (9). In the cases reported here, no obvious connections existed between the disease in domestic and wild population, but transmission of PPV from sheep and goats to chamois and ibex cannot be excluded. PPVs are highly contagious and able to be transmitted either by direct contact between animals or indirectly by environmental contamination (10).


The genetic characterization of the strains isolated from red deer confirms the presence of PVNZ in Italy. This virus was first noted in New Zealand in 1986 (1). Red deer were brought into New Zealand from Europe around 1850, and PVNZ has been speculated to have been introduced from the old continent (8). Until now, the disease has never been reported outside New Zealand.

The clinical signs described in New Zealand red deer are generally mild, with lesions limited to the skin and to the epithelial surface of the growing antlers (velvet). In the cases reported here, the disease was severe enough to cause the deaths of the animals. We cannot exclude that mild forms also can occur in wild red deer, and that only the most severe cases of the disease might have been brought to our attention; for this reason, additional data are needed to elucidate the clinical features of the disease in Italy. No information is available about the possibility of PVNZ natural transmission to domestic species, but inoculation of the virus into OV-naive sheep produced milder lesions than did OV (8). Given the genetic similarity between the PPVs that are infecting red deer and cattle, ecologic studies should be designed to evaluate the susceptibility of these animal species, respectively, to PCPV, BPSV, and PVNZ.

Most PPVs are transmissible to humans, and these infections share clinical manifestations and exposure risks with other, potentially life-threatening zoonoses (11). The transmission of PPVs from deer to humans already has been reported (12,13); for these reasons, we cannot rule out that PVNZ could be transmitted to humans as a consequence of wildlife activities and manipulation of carcasses.

Dr Scagliarini is an associate professor at the Department of Veterinary Medical Science, University of Bologna and teaches in the Faculty of Veterinary Medicine. Her research interests are poxviruses and evaluation of the efficacy of antiviral compounds of synthetic and natural origin.

DOI: 10.320/eid1704.101454


(1.) Horner GW, Robinson AJ, Hunter R, Cox BT, Smith R. Parapoxvirus infections in New Zealand farmed red deer (Cervus elaphus). N Z Vet J. 1987;35:41-5. DOI: 10.1080/00480169.1987.35376

(2.) Klein J, Tryland M. Characterisation of parapoxviruses isolated from Norwegian semi-domesticated reindeer (Rangifer tarandus tarandus). Virol J. 2005;2:79. DOI: 10.1186/1743-422X-2-79

(3.) Tikkanen MK, McInnes CJ, Mercer AA, Buttner M, Tuimala J, Hirvela-Koski V, et al. Recent isolates of parapoxvirus of Finnish reindeer (Rangifer tarandus tarandus) are closely related to bovine pseudocowpox virus. J Gen Virol. 2004;85:1413-8. DOI: 10.1099/ vir.0.79781-0

(4.) Scagliarini A, Dal Pozzo F, Gallina L, Guercio A, De Clercq E, Snoeck R, et al. Ovine skin organotypic cultures applied to the ex vivo study of orf virus infection. Vet Res Commun. 2005;29(Suppl 2): 245-7. DOI: 10.1007/s11259-005-0053-x

(5.) Inoshima Y, Morooka A, Sentsui H. Detection and diagnosis of parapoxvirus by the polymerase chain reaction. J Virol Methods. 2000;84:201-8. DOI: 10.1016/S0166-0934(99)00144-5

(6.) Scagliarini A, Ciulli S, Battilani M, Jacoboni I, Montesi F, Casadio R, et al. Characterisation of immunodominant protein encoded by the F1L gene of orf virus strains isolated in Italy. Arch Virol. 2002;147:1989-95. DOI: 10.1007/s00705-002-0850-2

(7.) Ueda N, Inder MK, Wise LM, Fleming SB, Mercer AA. Parapoxvirus of red deer in New Zealand encodes a variant of viral vascular endothelial growth factor. Virus Res. 2007;124:50-8. DOI: 10.1016/j.virusres.2006.09.012

(8.) Robinson AJ, Mercer AA. Parapoxvirus of red deer: evidence for its inclusion as a new member in the genus Parapoxvirus. Virology. 1995;208:812-5. DOI: 10.1006/viro.1995.1217

(9.) Buller RM, Arif BM, Black DN, Dumbell KR, Esposito JJ, Lefkowitz EJ, et al. Poxviridae. In: Fauquet CM, Mayo MA, Maniloff J, Desselberger U, Ball LA. Virus taxonomy: classification and taxonomy of viruses. Eighth report of the International Committee on Taxonomy of Viruses. San Diego (CA): Academic Press; 2005. p. 117-33.

(10.) Haig DM, Mercer AA. Ovine diseases: orf. Vet Res. 1998;29:311 26.

(11.) Lederman ER, Austin C, Trevino I, Reynolds MG, Swanson H, Cherry B, et al. ORF virus infection in children: clinical characteristics, transmission, diagnostic methods, and future therapeutics. Pediatr Infect Dis J. 2007;26:740-4. DOI: 10.1097/INF.0b013e31806211bf

(12.) Smith KJ. Skelton HG 3rd, James WD, Lupton GP. Parapoxvi rus infections acquired after exposure to wildlife. Arch Dermatol. 1991;127:79-82. DOI: 10.1001/archderm.127.1.79

(13.) Kuhl JT, Huerter CJ, Hashish H. A case of human orf contracted from deer. Cutis. 2003;71:288-90.

Address for correspondence: Alessandra Scagliarini, Dipartimento di Sanita Pubblica Veterinaria e Patologia Animale, Alma Mater Studiorum, Universita di Bologna, via Tolara di Sopra 5040064 Ozzano Emilia, Bologna, Italy; email:

Alessandra Scagliarini, [1] Francesca Vaccari, Filippo Turrini, Alessandro Bianchi, Paolo Cordioli, and Antonio Lavazza

Author affiliations: Alma Mater Studiorum Universita di Bologna, Bologna, Italy (A. Scagliarini, F. Vaccari, F. Turrini); and Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna, Brescia, Italy (A. Bianchi, P. Cordioli, A. Lavazza)

[1] Current affiliation: University of Bologna, Bologna, Italy.
Table. Chordopoxviruses used for the phylogenetic analyses of
the major envelope protein sequences*

species              Original host    GenBank accession no.

PVNZ 168/09          Red deer               HQ239068
PVNZ 348/08          Red deer               HQ239070
PVNZ 256/08          Red deer               HQ239069
OV 257/09            Chamois                HQ239071
OV 373/08            Ibex                   HQ239072
OV 485/09            Chamois                HQ239073
PCPV BO35            Bovine                 AY453653
PCPV F00.128R        Reindeer               AY453657
PCPV F00120.R        Reindeer               GQ329669
PCPV F00.91.R        Reindeer               AY453658
PCPV VR634           Human                  GQ329670
PCPV F99.177C        Bovine                 AY453663
OV NZ-2              Sheep                   U06671
OV IA82              Sheep                  AY386263
OV F92.849           Reindeer               AY453659
OV Orf11             Sheep                  AY453666
OV AICHI             Japanese serow         AB521165
OV SA00              Goat                   AY386264
OV D1701             Sheep                  AY453654
PVNZ RD86            Red deer               AY453655
BPSV Aomori          Bovine                 AB044797
BPSV Chiba           Bovine                 AB044798
BPSV V660            Bovine                 AY453664
SPV                  Seal                   AF414182
CPXV ref strain BR   ATCC VR302             AF482758
MPXV                 Human                  AF380138
HPXV                 Horse                  DQ792504
VACV ref strain WR   ATCC VR1354            NC 006998
CMLV                 Camel                  AF438165
VARV                 Human                   L22579
SPPV                 Sheeppox virus         AF199594
LSDV                 Bovine                 NC_003027
DPV                  Mule deer              NC_006967
YLDV                 Monkey                 NC_002642
MOCV                 Human                   U60315
FWPV                 Bird                   AF198100

* PVNZ, parapox of red deer in New Zealand virus; OV, orf virus; PCPV,
pseudocowpox virus; BPSV, bovine papular stomatitis virus; SPV, seal
poxvirus; CPXV, cowpox virus; ATCC, American Type Culture Collection;
MPXV, monkey poxvirus; HPXV, horsepox virus; VACV, vaccinia virus;
CMLV, camelpox virus; VARV, variola virus; SPPV, sheeppox virus;
LSDV, lumpy skin disease virus; DPV, deerpox virus; YLDV, Yaba like
disease virus; MOCV, molluscum contagiosum virus; FWPV, fowlpox
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Article Details
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Title Annotation:DISPATCHES
Author:Scagliarini, Alessandra; Vaccari, Francesca; Turrini, Filippo; Bianchi, Alessandro; Cordioli, Paolo;
Publication:Emerging Infectious Diseases
Article Type:Report
Geographic Code:4EUIT
Date:Apr 1, 2011
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