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Article Publish Status: FREE
Abstract Title:

Bacillus Calmette-Guérin reactivation as a sign of incomplete Kawasaki disease.

Abstract Source:

BMJ Case Rep. 2016 Mar 31 ;2016. Epub 2016 Mar 31. PMID: 27033285

Abstract Author(s):

Cristina Novais, Fabiana Fortunato, Anabela Bicho, Luísa Preto

Article Affiliation:

Cristina Novais

Abstract:

Kawasaki disease (KD) is an acute, self-limited, systemic vasculitis of unknown aetiology, extremely rare in infants younger than 6 months old. Younger infants are more likely to present with incomplete KD (IKD) and are at higher risk of developing coronary abnormalities. An early and specific clinical sign, not included in the classical diagnosis criteria, but that can be very useful in the diagnosis of KD, is the reaction at the Bacillus Calmette-Guérin (BCG) inoculation site. We describe a case of a 4-month-old boy, fully immunised, whose BCG scar reactivation led to the diagnosis of IKD. This case-report emphasises the importance of BCG site reactivation in establishing a diagnosis of IKD that clinicians should be aware of, especially in countries where BCG vaccination is still part of the immunisation schedule.

Study Type : Human: Case Report

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Sayer Ji
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