Disseminated Bacillus Calmette-Guerin Infection in an HIV-Infected Child: A Case with Cutaneous Lesions
J. A. Ratón, M.D.*, Itziar Pochevitie, M.D., José M. Vicente, M.D.,* Ricardo Gonzalez, M.D.* Ibon Hilhao, M.D.,* Carmen Gutierrez, M.D. José L. Diaz-Perez, M.D., Ph.D,*
  *Department of Dermatology, Cruces Hospital, Bilbao, Spain   Department of Pediatrics, Cruces Hospital, Bilbao, Spain
 Address correspondence to Juan Antonio Raton, M.D. Department of Dcnnatology. Crucss Hospital, 48901 Bilbao Spain.
Copyright 1997 Blackwell Scientific Publication, Inc.


Abstract: A boy bom to a mother with unknown HIV infection was immunized with BCG In his first month of life. Seven months later axillary adenopathy developed. At the age of 10 months, 2 months after HIV Infection had been diagnosed, papular skin lesions appeared all over his body. Mycobacterium bovis, BCG strain, was cultured from a lymph node and blood. Ziehl-Neelsen stain of a skin biopsy specimen showed histiocytes loaded with numerous acid-fast bacilli. The patient died 10 days later, before the infection was confirmed. This is the first reported case of disseminated BCG infection in an HIV-infected child presenting with cutaneous lesions.