Ulceration of a previously healed BCG scar in suspected disseminated BCG infection.
A 2.5-year-old boy with disseminated tuberculosis, highly suspected to be disseminated BCG infection which occurred against a background of secondary immunodeficiency due to measles and malnutrition, is presented. The initial diagnosis was post-measles bronchopneumonia, meningitis and marasmus. The final diagnosis was arrived at only because of a high clinical index of suspicion of tuberculosis which is needed in all communities with a high prevalence of tuberculosis. The absence of AIDS and the extreme rarity of ulceration of a previously healed BCG scar are noted.
Eregie
C O
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Department of Paediatrics, Specialist Hospital, Yola, Nigeria.
D001500:BCG Vaccine / Q000009:adverse effects*; D002675:Child, Preschool; D002921:Cicatrix; D006801:Humans; D007153:Immunologic Deficiency Syndromes / Q000209:etiology; D008297:Male; D008457:Measles / Q000150:complications; D009164:Mycobacterium Infections; D009748:Nutrition Disorders / Q000150:complications; D012883:Skin Ulcer / Q000209:etiology*; D014376:Tuberculosis / Q000175:diagnosis* / Q000517:prevention & control
D001500:BCG Vaccine