Case Reports of Bacillus Calmette-Guérin (BCG) Osteomyelitis: A Rare Complication in Immunocompetent Infants.

bcg case reports complication immunocompetent infants osteomyelitis rare vaccination

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
31 Dec 2020
Historique:
entrez: 4 3 2021
pubmed: 5 3 2021
medline: 5 3 2021
Statut: epublish

Résumé

Bacillus Calmette-Guérin (BCG) vaccine is a live attenuated vaccine used globally since 1921, and in the United Arab Emirates (UAE), it is administered to all newborns within the first few days of life for well-established benefits. BCG osteomyelitis is a rare complication that should be considered while assessing osteomyelitis in children. This report describes three cases of BCG osteomyelitis involving proximal metaphysis of the humerus in 11 months and three months old immunocompetent male infants and the left proximal tibia in a two-year-old immunocompetent female. To the best of our knowledge, these are the first cases to be reported in the UAE. The report outlines in detail how to make a timely diagnosis by explaining the insidious clinical presentation of BCG osteomyelitis, including its radiologic, microbiologic, and histologic aspects. As well, it outlines the treatment course carried out for these three patients. As such, this report will aid physicians in staying vigilant for such rare complication and commencing early treatment.

Identifiants

pubmed: 33659102
doi: 10.7759/cureus.12410
pmc: PMC7847481
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e12410

Informations de copyright

Copyright © 2020, Ghoweba et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Yousra Ghoweba (Y)

Pediatrics, Al Jalila Children's Hospital, Dubai, ARE.

Lemis Yavuz (L)

Pediatrics, Al Jalila Children's Hospital, Dubai, ARE.

Wafaa Faysal (W)

Pediatrics, Dr. Sulaiman Al Habib Hospital, Dubai, ARE.

Sattar Alshryda (S)

Pediatric Orthopedics, Al Jalila Children Specialty Hospital, Dubai, ARE.

Walid Abuhammour (W)

Infectious Diseases, Al Jalila Children's Speciality Hospital, Dubai, ARE.

Classifications MeSH