Tibia osteomyelitis secondary to BCG vaccination in an immunocompetent infant. Case report

  • Javier Eugenio Dal Lago Pediatrics Orthopedics Team, Hospital Británico de Buenos Aires (Buenos Aires, Argentina) http://orcid.org/0000-0002-0868-5505
  • Eduardo Jacobo Levy Pediatrics Orthopedics Team, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
Keywords: Tuberculosis, TB, Bacillus Calmette-Guérin, BCG, osteomyelitis, osteitis

Abstract

Abstract Introduction: The Bacillus Calmette-Guérin (BCG) vaccine, used to prevent severe forms of tuberculosis (TB), is the most extensively used vaccine worldwide. Adverse events associated with BCG vaccination are rare, and most of them occur at the inoculation site. We present a tibia Osteomyelitis case secondary to BCG vaccination in an immunocompetent infant. Conclusions: Bone involvement secondary to BCG vaccination in previously healthy patients is extremely rare. Healthcare providers must consider such settings in order to make the diagnosis and institute the appropriate treatment. Antituberculous drugs produced good therapeutic results with no need for surgical toilette.    

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Author Biographies

Javier Eugenio Dal Lago, Pediatrics Orthopedics Team, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
Pediatrics Orthopedics Team, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
Eduardo Jacobo Levy, Pediatrics Orthopedics Team, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
Pediatrics Orthopedics Team, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

References

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Lin WL, Chiu NC, Lee PH, Huang AS, Huang FY, Chi H, et al. Review management of Bacillus Calmette-Guérin osteomyelitis/osteitis in immunocompetent children-A systematic review. Vaccine 2015;33(36):4391-7. https://doi.org/10.1016/j.vaccine.2015.07.039

Published
2020-05-02
How to Cite
Dal Lago, J. E., & Levy, E. J. (2020). Tibia osteomyelitis secondary to BCG vaccination in an immunocompetent infant. Case report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(2), 157-166. https://doi.org/10.15417/issn.1852-7434.2020.85.2.965
Section
Case Presentations