Disseminated Mycobacterium bovis Infection after BCG Vaccination

The Calmette-Güerin vaccine (BCG) is administered to all the newborns in Iran in order to prevent tuberculosis. Complications of this vaccine are uncommon. We report disseminated BCG disease in 17 patients less than 10 years old. This is a retrospective study of total of 17 cases who were admitted...

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Main Authors: Shahla Afshar Paiman, Ahmad Siadati, Setareh Mamishi, Parviz Tabatabaie,  and Ghamartaj Khotaee
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2006-09-01
Series:Iranian Journal of Allergy, Asthma and Immunology
Subjects:
BCG
Online Access:https://ijaai.tums.ac.ir/index.php/ijaai/article/view/146
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author Shahla Afshar Paiman
Ahmad Siadati
Setareh Mamishi
Parviz Tabatabaie
 and Ghamartaj Khotaee
author_facet Shahla Afshar Paiman
Ahmad Siadati
Setareh Mamishi
Parviz Tabatabaie
 and Ghamartaj Khotaee
author_sort Shahla Afshar Paiman
collection DOAJ
description The Calmette-Güerin vaccine (BCG) is administered to all the newborns in Iran in order to prevent tuberculosis. Complications of this vaccine are uncommon. We report disseminated BCG disease in 17 patients less than 10 years old. This is a retrospective study of total of 17 cases who were admitted in Children Medical Center Hospital with systemic syndrome compatible with Mycobacterium disease with evidence of histopathologic demonstration of acid-fast bacilli during 1995-2004. Fourteen cases occurred in children younger than 1 year old. Nine patients were female. Ten of the 17 total cases were associated with an immune deficiency including severe combined immunodeficiency, chronic granulomatous disease and cell mediated immune defect. Response to therapy was ineffective and 10 of them (58.8%) died. Disseminated BCG disease is an uncommon but devastating complication of vaccination that should be considered in the appropriate clinical setting. Immune-compromised infants are at greatest risk and they respond poorly to standard therapies.
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spelling doaj.art-a9135eb47a724e97a52139d36739c8ac2022-12-21T23:20:02ZengTehran University of Medical SciencesIranian Journal of Allergy, Asthma and Immunology1735-15021735-52492006-09-0153146Disseminated Mycobacterium bovis Infection after BCG Vaccination Shahla Afshar Paiman0 Ahmad Siadati1 Setareh Mamishi2 Parviz Tabatabaie3  and Ghamartaj Khotaee4 The Calmette-Güerin vaccine (BCG) is administered to all the newborns in Iran in order to prevent tuberculosis. Complications of this vaccine are uncommon. We report disseminated BCG disease in 17 patients less than 10 years old. This is a retrospective study of total of 17 cases who were admitted in Children Medical Center Hospital with systemic syndrome compatible with Mycobacterium disease with evidence of histopathologic demonstration of acid-fast bacilli during 1995-2004. Fourteen cases occurred in children younger than 1 year old. Nine patients were female. Ten of the 17 total cases were associated with an immune deficiency including severe combined immunodeficiency, chronic granulomatous disease and cell mediated immune defect. Response to therapy was ineffective and 10 of them (58.8%) died. Disseminated BCG disease is an uncommon but devastating complication of vaccination that should be considered in the appropriate clinical setting. Immune-compromised infants are at greatest risk and they respond poorly to standard therapies.https://ijaai.tums.ac.ir/index.php/ijaai/article/view/146BCG
spellingShingle Shahla Afshar Paiman
Ahmad Siadati
Setareh Mamishi
Parviz Tabatabaie
 and Ghamartaj Khotaee
Disseminated Mycobacterium bovis Infection after BCG Vaccination
Iranian Journal of Allergy, Asthma and Immunology
BCG
title Disseminated Mycobacterium bovis Infection after BCG Vaccination
title_full Disseminated Mycobacterium bovis Infection after BCG Vaccination
title_fullStr Disseminated Mycobacterium bovis Infection after BCG Vaccination
title_full_unstemmed Disseminated Mycobacterium bovis Infection after BCG Vaccination
title_short Disseminated Mycobacterium bovis Infection after BCG Vaccination
title_sort disseminated mycobacterium bovis infection after bcg vaccination
topic BCG
url https://ijaai.tums.ac.ir/index.php/ijaai/article/view/146
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AT ahmadsiadati disseminatedmycobacteriumbovisinfectionafterbcgvaccination
AT setarehmamishi disseminatedmycobacteriumbovisinfectionafterbcgvaccination
AT parviztabatabaie disseminatedmycobacteriumbovisinfectionafterbcgvaccination
AT andghamartajkhotaee disseminatedmycobacteriumbovisinfectionafterbcgvaccination