“…It is commonly a self-limiting disease that resolves within 6 to 8 weeks; but complications can include bacterial infections, regional lymphadenopathy, lymphangitis, erythema multiforme, and bullous pemphigoid (11,23,24). In animals and humans, especially in burned and immunocompromised subjects, extensive and recurrent lesions have been described; these lesions result in the development of giant orf or tumor-like lesions (15,16,28,31). While no treatment except for antibiotic therapy to prevent secondary bacterial infections is required for the self-limiting forms of the disease, in the complicated forms, cryotherapy, excision of the mass, and in the worse cases, amputation may be necessary (6).…”