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Eur J Cardiothorac Surg 2002;21:352-354
© 2002 Elsevier Science NL

Case report

Cold abscess of the chest wall as an unusual complication of BCG vaccination

Olgun Kadir Aribasa*, Fikret Kanatb, Niyazi Gormusc, Emel Turkd

a Department of Thoracic Surgery, Meram Medical School of Selcuk University, Konya, Turkey
b Department of Chest Diseases, Meram Medical School of Selcuk University, Konya, Turkey
c Department of Cardiovascular Surgery, Meram Medical School of Selcuk University, Konya, Turkey
d Department of Infectious Diseases, Meram Medical School of Selcuk University, Konya, Turkey

Received 27 September 2001; received in revised form 13 November 2001; accepted 17 November 2001.

* Corresponding author. Selcuk Universitesi Meram Tip Fakultesi, Gogus Cerrahisi Anabilim Dali, 42080, Meram, Konya, Turkey. Tel.: +90-332-3232600x1844; fax: +90-332-3232643
e-mail: olgun{at}selcuk.edu.tr

Bacillus-Calmette-Guérin (BCG) vaccination often results in local adverse effects; however, serious or long-term complications are rare. The involvement of sternum among skeletal BCG osteomyelitis is a rarely seen complication of BCG vaccination. Such a complication may confuse with a chest wall tumor and a surgical intervention may be needed for the definite diagnosis. A 9-month-old infant who had a parasternal cold abscess in the anterior chest wall and sternal osteomyelitis of tuberculosis in the late period of BCG vaccination of whom the etiological diagnosis was histopathologically confirmed after surgery is presented and the preoperative diagnostic problems are discussed.

Key Words: Osteomyelitis • Tuberculosis • Extra-pulmonary tuberculosis • Sternal tumor • Bacillus-Calmette-Guérin vaccination • Complications






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Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.