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Inadvertent Inoculation: Clinical Manifestations

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Click here to Zoom Accidental Implantaion, lesions of face
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Implanted lesions progress in the same fashion as the primary vaccination. 

Notes on clinical manifestations for patients with pre-existing conditions follow.

Clinical Manifestations for Patients with
Pre-Existing Conditions

Condition
Notes
Cell-mediated immune 
dysfunction
In patients with cell-mediated immune dysfunction, each lesion progresses without an inflammatory response, does not heal, and expands.

Eczema or
disrupted skin

In individuals with eczema or disrupted skin, the lesions tend to be confluent and massive in extent. 

Prior inflammatory eye disease

Periorbital, conjunctival and corneal lesions are seen in those with prior inflammatory eye disease. The periorbital and conjunctival lesions undergo the same evolution as the primary in skin and mucosa, whereas the corneal infection causes ulceration and ultimate cloudiness. 
 
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