BCGitis of scrofuloderma-like lesions.
- Author:
Kyung Min JUN
;
Chang Woo LEE
;
Young Tae KIM
;
Jae Hong KIM
- Publication Type:Original Article
- MeSH:
Adolescent;
Arm;
Diagnosis;
Giant Cells;
Granuloma;
Humans;
Isoniazid;
Male;
Mycobacterium bovis;
Necrosis;
Rifampin;
Vaccination
- From:Korean Journal of Dermatology
1991;29(2):233-236
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 13-year-old male presented with a walnut-size tender swelling of the left supraclavicular area. The lesion developed 4 months after BCG vaccination in a left. upper arm location. The supraclavicular lesion gradually increased in size and became suppurative witii resultant sinus formation. Histopathological examination of the nodular lesion showei3 foci of epithelioid granulomas with caseation necrosis, and several Langhans' type giant cells. After a diagnosis of BCGitis was made, the patient was, treated with isoniazid an l rifampin for two months without much benefits. Surgical excision of the lesion were performed to expedite clinical regression. After six months of antituherculous chemctherapy, a clinical remission was evident. Scrofuloderma-like BCGitis as well as other cutaneous complications of BCG vaecination are not uncommon. Thus, the practicing dermatologist should be aware of these complications, for correct diagnosis and treatment.
