title: Bacillus Calmette-Guérin vaccine-induced lupus vulgaris in a child adopted from China.
abstract: Lupus vulgaris is a rare form of cutaneous mycobacterial infection that can occur from mycobacterial exposure and even more rarely from exposure to the Bacillus Calmette-Guérin vaccine. We report a child who received this vaccination in China and then developed lupus vulgaris shortly after being adopted in the United States. After histopathologic confirmation, the infection was successfully treated with a combination of antibiotics. This occurrence demonstrates the need for heightened surveillance of Bacillus Calmette-Guérin vaccine-induced lupus vulgaris, given the increasing numbers of overseas adoptions taking place in the United States. To our knowledge, this is the first reported instance of Bacillus Calmette-Guérin immunization-induced lupus vulgaris in the United States.
authors.affiliation: Department of Dermatology, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: Amber
authors.initials: A
authors.lastname: Samuel
authors.forename: John
authors.initials: J
authors.lastname: Browning
authors.forename: Judith
authors.initials: J
authors.lastname: Campbell
authors.forename: Denise
authors.initials: D
authors.lastname: Metry
mesh_terms: D000300:Adoption; D001500:BCG Vaccine / Q000009:adverse effects*; D002675:Child, Preschool; D002681:China / Q000208:ethnology; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D008177:Lupus Vulgaris / Q000208:ethnology* / Q000209:etiology* / Q000473:pathology; D014481:United States / Q000453:epidemiology
chemical_list: D001500:BCG Vaccine