Sternal osteomyelitis and scrofuloderma due to BCG vaccination.

Ivohne Fernanda Corrales, Jorge Alberto Cortés, María Lucía Mesa, Graciela Zamora, .

Keywords: mycobacterium bovis, BCG vaccine adverse effects, osteomyelitis, microbiology

Abstract

BCG vaccine has been used for nearly 100 years in the prevention of tuberculosis. The case of a 13 month-old girl vaccinated as a newborn with BCG is described as presenting a sternal mass with associated periostic erosion. The mass was resected, and histopathological examination revealed a chronic inflammatory reaction with caseous granulomas, and extension to bone and skin. PCR amplifications using specific primers for Mycobacterium tuberculosis on paraffin-embedded tissue were negative. BCG vaccination at birth, the histological appearance and the absence of M. tuberculosis DNA in the resected tissue indicated that osteomyelitis and scrofuloderma were a consequence of BCG. Osteomyelitis is a rarely occurring adverse effect of BCG vaccination, more commonly seen in immunosuppressed patients. In the patient described above, no symptoms of immunodeficiency were seen, however.

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  • Ivohne Fernanda Corrales Departamento de Pediatría, Universidad del Rosario, Bogotá, D.C.
  • Jorge Alberto Cortés Unidad de Infectología, Departamento de Medicina, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C.
  • María Lucía Mesa Centro Médico Ciudadela Colsubsidio, Bogotá, D.C.
  • Graciela Zamora Centro Médico Ciudadela Colsubsidio, Bogotá, D.C.
How to Cite
1.
Corrales IF, Cortés JA, Mesa ML, Zamora G. Sternal osteomyelitis and scrofuloderma due to BCG vaccination. biomedica [Internet]. 2003 Jun. 1 [cited 2024 May 19];23(2):202-7. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/1212

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Published
2003-06-01
Section
Case presentation

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