A clinical case of disseminated BCG infection with a fatal outcome

S. M. Kharit, Yu. E. Konstantinova, V. E. Karev, I. Karabak, A. I. Konev, K. K. Tikhomirova, M. E. Lozovskaja
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Abstract

Complications after the introduction of the tuberculosis vaccine develop extremely rarely. They become accidentally vaccinated infants with undiagnosed severe immunodeficiency. The article considers a clinical case of the course of disseminated BCG infection with multiple organ damage in congenital immunodeficiency in a 9-month-old boy. The disease manifested itself acutely, the child’s condition worsened within a week, and its outcome was the death of the baby. Primary immunodeficiency was confirmed by the results of a pathoanatomic examination. The discussion provides a classification of complications after the introduction of BCG vaccine, the algorithm of the doctor’s actions in case of a suspected complication after vaccination, and also describes the main signs of immunodeficiency.
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一例卡介苗播散性感染并导致死亡的临床病例
结核病疫苗接种后出现并发症的情况极为罕见。接种卡介苗的婴儿会意外患上未确诊的严重免疫缺陷症。文章介绍了一个临床病例,该病例是一名 9 个月大的男婴在先天性免疫缺陷的情况下感染播散性卡介苗并造成多器官损伤。该病表现为急性,患儿的病情在一周内恶化,最终导致婴儿死亡。病理解剖检查结果证实为原发性免疫缺陷。本讨论提供了卡介苗接种后并发症的分类、接种后出现疑似并发症时医生的行动算法,还描述了免疫缺陷的主要体征。
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