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
Related Articles
- EP ID EP14805
- DOI 10.18295/squmj.2017.17.03.019
- Views 343
- Downloads 16
The ‘5R + R’ Rule: A simple and comprehensive method for diagnosis of actinic keratosis
Dear Editor, Actinic keratoses (AKs) or ‘solar keratoses’ are cutaneous lesions that arise on areas of the skin that are chronically exposed to ultraviolet (UV) radiation [Figure 1]. AKs are considered early manifestat...
A Ten year-old Girl with Band Heterotopia or Double Cortex (two brains)
The Burden of Surgical Cancellations and No-Shows Quality management study from a large regional hospital in Oman
Objectives: Te operating theatre (OT) is a vital facility that utilises a considerable portion of the hospital’s budget; thus proper OT utilisation is essential. Surgical cancellation is a leading cause of OT underut...
Re: Controversies in Odontogenic Tumours Review
We read with great interest the recent review article by Siwach et al. published in the August 2017 issue of SQUMJ.1 We congratulate the authors on their elaborative narrative review of the controversies regarding vario...
Causes of Stress and Coping Strategies Adopted by Undergraduate Health Professions Students in a University in the United Arab Emirates
Objectives: Tis study aimed to compare causes of stress and coping strategies adopted by a sample of undergraduate health-profession students at the Gulf Medical University, United Arab Emirates. Methods: An anonymous...