<Li> Cutaneous manifestations specifically rashes, are not uncommon in WNV - infected patients; however, there is a paucity of detailed descriptions in case reports and there are few clinical images widely available . Punctate erythematous, macular, and papular eruptions, most pronounced on the extremities have been observed in WNV cases and in some cases histopathologic findings have shown a sparse superficial perivascular lymphocytic infiltrate, a manifestation commonly seen in viral exanthems . A literature review provides support that this punctate rash is a common cutaneous presentation of WNV infection . </Li> <Table> <Tr> <Th_colspan="2"> West Nile virus </Th> </Tr> <Tr> <Td_colspan="2"> </Td> </Tr> <Tr> <Th_colspan="2"> Virus classification </Th> </Tr> <Tr> <Td> Group: </Td> <Td> Group IV ((+) ssRNA) </Td> </Tr> <Tr> <Td> Order: </Td> <Td> Unassigned </Td> </Tr> <Tr> <Td> Family: </Td> <Td> Flaviviridae </Td> </Tr> <Tr> <Td> Genus: </Td> <Td> Flavivirus </Td> </Tr> <Tr> <Td> Species: </Td> <Td> West Nile virus </Td> </Tr> </Table> <Tr> <Th_colspan="2"> West Nile virus </Th> </Tr> <Tr> <Th_colspan="2"> Virus classification </Th> </Tr>

The pathogen west nile virus is carried by mosquitoes. what type of transmission is this