Sternal osteomyelitis after bacillus Calmette-Guérin vaccination

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Rolandas Selvestravičius
Elena Sučilienė
Kęstutis Saniukas
Odeta Bobelytė
Vytautas Usonis *
(*) Corresponding Author:
Vytautas Usonis | vytautas.usonis@mf.vu.lt

Abstract

Presented here is the case of a nine-month-old boy with the osteomyelitis of the upper area sternum caused by bacillus Calmette-Guerin (BCG), the Danish 1331 strain vaccine against tuberculosis. Upon examination, a swelling of approximately 2×3 cm diameter was observed in the upper sternal area. The mass was hard, fixed and sensitive to palpation with no local skin hyperaemia. Chest X-rays revealed a round mass anterior to the sternum, suggesting a diagnosis of osteomyelitis. A consequent sternal biopsy was performed and Mycobacterium bovis BCG was identified by a positive growth culture.

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