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Disseminated Bacillus Calmette-Guerin Infection in an HIV-Infected Child: A Case with Cutaneous Lesions
Authors:J. A. Rató  n,M.D.,Itziar Pochevitie,M.D.,&dagger  ,José   M. Vicente,M.D., Ricardo Gonzalez,M.D., Ibon Hilhao,M.D., Carmen Gutierrez,M.D.,&dagger   José   L. Diaz-Perez,M.D.,Ph.D
Affiliation:Department of Dermatology, Cruces Hospital, Bilbao, Spain;Department of Pediatrics, Cruces Hospital, Bilbao, Spain
Abstract:Abstract: A boy bom to a mother with unknown HIV infection was immunized with BCG In his first month of life. Seven months later axillary adenopathy developed. At the age of 10 months, 2 months after HIV Infection had been diagnosed, papular skin lesions appeared all over his body. Mycobacterium bovis, BCG strain, was cultured from a lymph node and blood. Ziehl-Neelsen stain of a skin biopsy specimen showed histiocytes loaded with numerous acid-fast bacilli. The patient died 10 days later, before the infection was confirmed. This is the first reported case of disseminated BCG infection in an HIV-infected child presenting with cutaneous lesions.
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