Indian Journal of Dermatology
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CASE REPORT
Year : 2017  |  Volume : 62  |  Issue : 5  |  Page : 519-523

BCG-induced disseminated mycobacterial infection of skin and bone in an otherwise immunocompetent child


1 Department of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India
2 Department of Pediatrics, IPGMER, Kolkata, West Bengal, India
3 Department of Biochemistry, IPGMER, Kolkata, West Bengal, India
4 Department of Dermatology, KPC Medical College, Kolkata, West Bengal, India

Correspondence Address:
Abhishek De
Flat Number 3A, Arcadia 1, Dream Park, Sonarpur Station Road, Kolkata - 700 103, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijd.IJD_55_17

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One 2-year-old undernourished girl presented to our outpatient with large erythematous scaly plaques in arm along with multiple bony swellings over nose, fingers, left foot, and back for the past 1 year. Apart from skin and bone lesions the girl was also had intermittent fever, pallor, irritability, and malnourishment. Her parents gave a history of incomplete healing at the BCG vaccination site. The case was diagnosed to be case of disseminated mycobacterial infection skin and bone with the help of histopathology, radiological examination, and DNA polymerase chain reaction (PCR). DNA PCR from the skin lesion came positive for mycobacteria tuberculosis complex. The girl was treated with 6 months of standard antitubercular drug treatment with very good improvement not only of her cutaneous and bone changes but also of her general health and growth. We report the case because paucity of similar infection in literature and for greater recognition of potential epidemiological threat.


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