Bacalhau Sílvia, Freitas Cristina, Valente Rosalina, Barata Deolinda, Neves Conceição, Schäfer Katrin, Lubatschofski Annelie, Schulz Ansgar, Neves João Farela
Pediatric Intensive Care Unit, Hospital Dona Estefânia, 1169-045 Lisboa, Portugal.
Case Rep Med. 2011;2011:527569. doi: 10.1155/2011/527569. Epub 2011 Oct 24.
In high-burden countries, Mycobacterium bovis Bacillus Calmette-Guérin (BCG) vaccine is administered in newborn to prevent severe Mycobacterium tuberculosis infection. Because life-threatening disseminated BCG disease may occur in children with primary immunodeficiency, vaccination strategy against tuberculosis should be redefined in non-high-burden countries. We report the case of a patient with X-linked severe combined immunodeficiency (SCID) who developed disseminated BCG disease, highlighting the specific strategies adopted.
在高负担国家,新生儿会接种卡介苗(BCG)以预防严重的结核分枝杆菌感染。由于原发性免疫缺陷儿童可能发生危及生命的播散性卡介苗病,因此在非高负担国家应重新定义结核病疫苗接种策略。我们报告了1例患有X连锁重症联合免疫缺陷(SCID)并发生播散性卡介苗病的患者病例,并着重介绍了所采取的具体策略。