Kawasaki disease – when Bacillus Calmette–Guérin (BCG) lymphadenitis blooms again and the vaccination site peels off!

Author(s):  
Aaqib Z. Banday ◽  
Pratap K. Patra ◽  
Ankur K. Jindal
2021 ◽  
Vol 39 ◽  
Author(s):  
Lilian Martins Oliveira Diniz ◽  
Raquel Gomes Castanheira ◽  
Yala Gramigna Giampietro ◽  
Matheus Sewastjanow Silva ◽  
Flávia Duarte Nogueira ◽  
...  

ABSTRACT Objective: To describe the case of an infant - diagnosed with incomplete Kawasaki disease - who developed BCG scar reactivation. Case description: A 6-month-old patient was admitted to hospital with fever associated with ocular hyperemia, cervical lymphadenopathy, and hyperemic lips, and remained hospitalized for 12 days. The physical examination revealed an inflammatory reaction at the site of the BCG scar, leading to the diagnosis of incomplete Kawasaki disease. The patient was treated with venous immunoglobulin, but presented recurrence of Kawasaki disease, with subsequent onset of coronary artery disease. Comments: BCG scar reactivation is an important finding in countries where the vaccine is routinely given and may be a useful marker for early diagnosis of Kawasaki disease, especially in its incomplete form.


2016 ◽  
Vol 43 (9) ◽  
pp. 1044-1050 ◽  
Author(s):  
Han-Chi Tseng ◽  
Ji-Chen Ho ◽  
Mindy Ming-Huey Guo ◽  
Mao-Hung Lo ◽  
Kai-Sheng Hsieh ◽  
...  

2016 ◽  
Vol 8 (2) ◽  
pp. 202-206
Author(s):  
Yota Sato ◽  
Taku Fujimura ◽  
Sadanori Furudate ◽  
Aya Kakizaki ◽  
Osamu Iizawa ◽  
...  

Since bacillus Calmette-Guérin (BCG) is an attenuated strain of Mycobacterium bovis, lupus vulgaris (LV) is reported as one of the rare complications after BCG vaccination, correlating with immunosuppression in the lesional skin. In this report, we describe a case of LV arising from the BCG vaccination site 22 years after vaccination. Interestingly, in the present case, granuloma cells were composed of M2-polarized macrophages. Our case might explain the contribution of M2-polarized macrophages to the biology of LV arising from a BCG vaccination site.


2016 ◽  
pp. bcr2015213875 ◽  
Author(s):  
Cristina Novais ◽  
Fabiana Fortunato ◽  
Anabela Bicho ◽  
Luísa Preto

2013 ◽  
Vol 54 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Chi-Chieh Lai ◽  
Pi-Chang Lee ◽  
Chih-Chien Wang ◽  
Be-Tau Hwang ◽  
C.C. Laura Meng ◽  
...  

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