Thorac Cardiovasc Surg 2014; 62(03): 258-260
DOI: 10.1055/s-0032-1331897
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Parasternal Mass Revealing as a Postvaccinal Bacillus Calmette–Guérin (BCG)-Elicited Sternal Osteomyelitis

Hyo Yeong Ahn
1   Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
,
Yeong Dae Kim
1   Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
,
So Eun Jeon
2   Department of Pediatrics, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
,
Seong Shik Park
2   Department of Pediatrics, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
,
Su Eun Park
2   Department of Pediatrics, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
,
In Suk Lee
3   Department of Diagnostic Radiology, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
,
Kyoung Woon Choi
4   Department of Pathology, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
› Author Affiliations
Further Information

Publication History

17 September 2012

09 October 2012

Publication Date:
23 January 2013 (online)

Abstract

Although osteomyelitis is a very rare complication of Bacillus Calmette–Guérin (BCG) vaccination, sternal osteomyelitis as a late complication of BCG vaccination diagnosed by polymerase chain reaction (PCR) in a child is described.

We might consider BCG osteomyelitis in the case of osteomyelitis without bacterial isolation within a year after BCG vaccination, the absence of pulmonary foci, and a contact to the patient with tuberculosis.

 
  • References

  • 1 Aribas OK, Kanat F, Gormus N, Turk E. Cold abscess of the chest wall as an unusual complication of BCG vaccination. Eur J Cardiothorac Surg 2002; 21 (2) 352-354
  • 2 Karnak I, Akçören Z, Göğüş S, Cağlar M, Tanyel FC. Granulomatous osteomyelitis of the sternum presenting with a parasternal mass: a possible relation to the bacillus Calmette-Guérin vaccine. J Pediatr Surg 1999; 34 (10) 1534-1536
  • 3 Khotaei GT, Sedighipour L, Fattahi F, Pourpak Z. Osteomyelitis as a late complication of Bacille Calmette-Guérin vaccination. J Microbiol Immunol Infect 2006; 39 (2) 169-172
  • 4 Gormsen H. On the occurrence of epitheloid cell granulomas in the organs of BCG-vaccinated human beings. Acta Pathol Microbiol Scand Suppl 1956; 39 (Suppl 111): 117-120
  • 5 Lin CJ, Yang WS, Yan JJ, Liu CC. Mycobacterium bovis osteomyelitis as a complication of Bacille Calmette-Guérin (BCG) vaccination: rapid diagnosis with use of DNA sequencing analysis: a case report. J Bone Joint Surg Am 1999; 81 (9) 1305-1311