Bacille Calmette-Guérin Vaccine-Induced Tuberculous Hip Osteomyelitis in an Infant Case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 3
Abstract
To this day, tuberculosis (TB) continues to pose a signifcant global health burden. Te World Health Organization’s Expanded Programme on Immunization (EPI) recommends the bacille Calmette-Guérin (BCG) vaccine for infants to protect against the haematogenous spread of primary TB and other more severe types of TB infection. We report an eight-month-old boy who presented to the Armed Forces Hospital, Muscat, Oman, in 2015 with a one-month history of intermittent fever associated with a limited range of motion in the right hip area. He was up-to-date with his EPI vaccinations and had no history of exposure to individuals with TB infections. He was initially treated for bacterial septic arthritis; however, a GeneXpert TB assay revealed the presence of Mycobacterium tuberculosis, BCG strain. To the best of the authors’ knowledge, this is the frst documented case from Oman of a child with TB hip osteomyelitis due to a BCG vaccination.
Authors and Affiliations
Mohammed S. Al-Azri| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Jazel Manarang| Department of Child Health, Royal Hospital, Muscat, Oman, Yaqoub Al-Mufargi| Department of Orthopedic Surgery, Armed Forces Hospital, Muscat, Oman
Keywords
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- EP ID EP14805
- DOI 10.18295/squmj.2017.17.03.019
- Views 356
- Downloads 16
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