“…15,19 The most remarkable histopathological findings in the current study were somewhat similar to those observed in several equine conditions associated with different orthopoxviruses. 2,5,6,9,11,15,17,19,21 The gross findings in the outbreak reported here showed remarkable similarity to what has been described for the buccal form of horsepox, 5,6,15 with some similarity to the condition reproduced in horses by inoculation of VACV. 18 The papuloeruptive, proliferative, and exudative lesions in the muzzle, surrounding the nares and face, and in the lips and cheeks, plus the presence of large, eosinophilic, intracytoplasmic, oval or circular inclusions in vacuolated keratinocytes are considered pathognomonic of the buccal form of horsepox.…”