Disseminated Bacille Calmette-Guérin Infection in Immunodeficient Infants: Report of Two Cases
Author | Ahmed Ben Hadj Hassine |
Author | Manel Marzouk |
Author | Hichem Bargui |
Author | Miniar Tfifha |
Author | Mohamed Dhaou |
Author | Jalel Boukadida |
Issued Date | 2017-04-30 |
Abstract | Introduction: The Bacille Calmette-Guérin (BCG), a live attenuated Mycobacterium bovis vaccine, is administered to all the newborns in Tunisia in order to prevent Tuberculosis (TB). Complications of this vaccine are uncommon. However, it poses a risk for children with unknown immunodeficiency. Case Presentation: We report on disseminated BCG disease in two infants, respectively, with severe combined immunodeficiency and human immunodeficiency virus (HIV). Evolution was fatal for both, despite adequate anti-tuberculosis treatment. Conclusions: Molecular methods are available to respond to the urgent need for rapid and specific diagnosis of local/regional or systemic BCG disease, using available commercial kits GenoType® MTBC and GenoType® MTBDRplus. These tests allow prevention of inoculation of live vaccines such as BCG among the next siblings until appropriate screening tests exclude primary or secondary immunodeficiency syndromes. |
DOI | https://doi.org/10.5812/pedinfect.37490 |
Keyword | Bacille Calmette-Guérin Vaccine |
Keyword | Mycobacterium bovis |
Keyword | Molecular Diagnostic Techniques |
Keyword | Immunologic Deficiency Syndromes |
Publisher | Brieflands |
Title | Disseminated Bacille Calmette-Guérin Infection in Immunodeficient Infants: Report of Two Cases |
Type | Case Report |
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