Korean J Dermatol.  1991 Apr;29(2):233-236.

BCGitis of scrofuloderma-like lesions

• Jun KM
• Lee CW
• Kim YT
• Kim JH

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.

MeSH Terms

Adolescent
Arm
Diagnosis
Giant Cells
Granuloma
Humans
Isoniazid
Male
Mycobacterium bovis
Necrosis
Rifampin
Vaccination
Isoniazid
Rifampin