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Bacille Calmette-Guérin — associated neonatal hepatitis
Authors:B. Simma  O. Dietze  W. Vogel  H. Ellemunter  J. P. Guggenbichler
Affiliation:(1) Department of Paediatrics, Innsbruck University Hospital, Anichstrasse 35, A-6020 Innsbruck, Austria;(2) Department of Pathology, Innsbruck University Hospital, Anichstrasse 35, A-6020 Innsbruck, Austria;(3) Department of Internal Medicine, Innsbruck University Hospital, Anichstrasse 35, A-6020 Innsbruck, Austria
Abstract:We describe a full-term immunocompetent neonate who developed jaundice at 3 weeks of age. Physical examination disclosed no abnormalitics. Laboratory investigations showed direct reacting hyperbilirubinaemia and elevated liver enzymes. Liver biopsy revealed a noncaseating granulomatous hepatitis. The patient made an uneventful recovery within 4 weeks without therapy. Bacille Calmette-Guérin hypersensitivity reaction is suggested as the reason for this neonatal hepatitis.
Keywords:BCG vaccination  Granulomatous hepatitis  Hypersensitivity reaction
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