Abstract—Osteomyelitis is a rare complication of Bacillus Calmette-Guerin (BCG) vaccine particularly in Immunocompetent children. Recognition and Management of BCG osteomyelitis is challenging. Herein a 7-months-old Saudi girl admitted with right foot swelling, clinical diagnosis of cold abscess was made. MRI imaging revealed osteomyelitis of 1st right tarsal bone, open biopsy tissue culture and PCR were positive for mycobacterium bovis. BCG osteomyelitis is devastating complication of BCG vaccination that should be considered in the appropriate clinical setting.
Keywords– BCG vaccine, Osteomyelitis, Immunocompetent
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