Usefulness of echocardiography for papular tuberculid with fever after BCG vaccination

The QuantiFERON-TB Gold Plus assay and antibody titre tests for measles and rubella were negative. Because of rash and fever are principal clinical features of Kawasaki disease (KD), we performed echocardiography and found no abnormalities in the coronary arteries or myocardium. There is no establis...

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Published inBMJ case reports Vol. 17; no. 2; p. e259546
Main Authors Zensho, Kazumasa, Hirose, Azusa, Nakamoto, Shu, Akaike, Hiroto
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 06.02.2024
Subjects
Biopsy
Blood vessels
Case reports
Exocrine glands
Fever
Immunization
Kawasaki disease
Patients
Pediatrics
Skin
Tuberculosis
Vaccines
paediatrics
infant health
vaccination/immunisation
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Abstract The QuantiFERON-TB Gold Plus assay and antibody titre tests for measles and rubella were negative. Because of rash and fever are principal clinical features of Kawasaki disease (KD), we performed echocardiography and found no abnormalities in the coronary arteries or myocardium. There is no established procedure for the treatment of generalised papular tuberculid after BCG vaccination because the disease is not yet well recognised. [...]it is important for clinicians and trainees to perform echocardiography when KD is suspected in patients who develop papular tuberculid with fever after BCG vaccination. [...]we encountered a case of papular tuberculid with fever after BCG vaccination diagnosed by appropriate medical procedures.
AbstractList The QuantiFERON-TB Gold Plus assay and antibody titre tests for measles and rubella were negative. Because of rash and fever are principal clinical features of Kawasaki disease (KD), we performed echocardiography and found no abnormalities in the coronary arteries or myocardium. There is no established procedure for the treatment of generalised papular tuberculid after BCG vaccination because the disease is not yet well recognised. [...]it is important for clinicians and trainees to perform echocardiography when KD is suspected in patients who develop papular tuberculid with fever after BCG vaccination. [...]we encountered a case of papular tuberculid with fever after BCG vaccination diagnosed by appropriate medical procedures.
Author Akaike, Hiroto
Nakamoto, Shu
Hirose, Azusa
Zensho, Kazumasa
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  surname: Hirose
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  givenname: Hiroto
  surname: Akaike
  fullname: Akaike, Hiroto
  organization: Paediatrics, Kurashiki Medical Center, Kurashiki, Japan
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Cites_doi 10.1097/INF.0b013e3181cacede
10.1016/j.vaccine.2022.05.055
10.1016/j.idcr.2020.e01021
10.1080/21645515.2016.1208329
10.1111/ped.14326
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Copyright 2024 BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.
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StartPage e259546
SubjectTerms Biopsy
Blood vessels
Case reports
Exocrine glands
Fever
Immunization
Kawasaki disease
Patients
Pediatrics
Skin
Tuberculosis
Vaccines
Title Usefulness of echocardiography for papular tuberculid with fever after BCG vaccination
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