Korean J Dermatol.  2008 Feb;46(2):298-301.

A Case of Scrofuloderma-like BCGitis Near the BCG Vaccination Sit

• Kim JW
• Choi MH
• Song HJ
• Oh CH
• Park JS

Abstract

A 10-month-old male patient was seen with a nodular lesion on his left upper arm which developed several months after BCG vaccination. Physical examination revealed a bean sized, irregular surfaced, erythematous pustular nodule on the left upper arm at a place different from the vaccination site. Histopathologic examination of the nodule on the left upper arm showed tubercles composed of mononuclear cells, epithelioid cells and langhans type giant cells in the dermis. Caseation necrosis within the typical tubercles was noted. Prominent improvement of the lesion was observed 4 months after oral medication with isoniazid and rifampicin.

Keyword

BCGitis; BCG vaccination; Scrofuloderma

MeSH Terms

Arm
Dermis
Epithelioid Cells
Giant Cells, Langhans
Humans
Hypogonadism
Infant
Isoniazid
Male
Mitochondrial Diseases
Mycobacterium bovis
Necrosis
Ophthalmoplegia
Physical Examination
Rifampin
Tuberculosis, Cutaneous
Vaccination
Hypogonadism
Isoniazid
Mitochondrial Diseases
Ophthalmoplegia
Rifampin