title: Disseminated bacillus Calmette-Guerin infection in an HIV-infected child: a case with cutaneous lesions.
abstract: A boy born to a mother with unknown HIV infection was immunized with BCG in his first month of life. Seven months later axillary adenopathy developed. At the age of 10 months, 2 months after HIV infection had been diagnosed, papular skin lesions appeared all over his body. Mycobacterium bovis, BCG strain, was cultured from a lymph node and blood. Ziehl-Neelsen stain of a skin biopsy specimen showed histiocytes loaded with numerous acid-fast bacilli. The patient died 10 days later, before the infection was confirmed. This is the first reported case of disseminated BCG infection in an HIV-infected child presenting with cutaneous lesions.
authors.affiliation: Department of Dermatology, Cruces Hospital, Bilbao, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Ratón
authors.forename: I
authors.initials: I
authors.lastname: Pocheville
authors.forename: J M
authors.initials: JM
authors.lastname: Vicente
authors.forename: R
authors.initials: R
authors.lastname: González
authors.forename: I
authors.initials: I
authors.lastname: Bilbao
authors.forename: C
authors.initials: C
authors.lastname: Gutierrez
authors.forename: J L
authors.initials: JL
authors.lastname: Díaz-Pérez
mesh_terms: D001365:Axilla; D001500:BCG Vaccine / Q000009:adverse effects*; D002648:Child; D006679:HIV Seropositivity; D006644:Histiocytes / Q000473:pathology; D006801:Humans; D008198:Lymph Nodes / Q000382:microbiology; D008297:Male; D009164:Mycobacterium Infections / Q000382:microbiology*; D009163:Mycobacterium bovis / Q000302:isolation & purification*; D012871:Skin Diseases / Q000382:microbiology* / Q000473:pathology
chemical_list: D001500:BCG Vaccine