학술논문
Genotyping and Resolution of a Case of Osteomyelitis in a 16-Month-Old Boy of Hispanic/African American Ethnicity.
Document Type
Article
Source
Subject
*OSTEOMYELITIS diagnosis
*MOLECULAR diagnosis
*HISPANIC Americans
*DIFFERENTIAL diagnosis
*OSTEOMYELITIS
*GENOTYPES
*BCG vaccines
*MICROBIOLOGICAL techniques
*MYCOBACTERIAL diseases
*AFRICAN Americans
*CHILDREN
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Language
ISSN
0007-5027
Abstract
Most cases of osteomyelitis in children are caused by Staphylococcus aureus, although Kingella kingae, various streptococci, and Salmonella species also underlie this condition. Organisms such as Mycobacterium, Histoplasma, and Cryptococcus are much less commonly identified as etiologic agents in osteomyelitis. This case report describes a 16-month-old boy of Hispanic/African American ethnicity who had extensive inflammation of and discharge from his right ankle. Imaging studies supported a diagnosis of osteomyelitis. Acid-fast bacillus (AFB) and routine wound cultures were ordered on the wound discharge. The AFB culture yielded a positive result for Mycobacterium bovis, and molecular diagnostic testing further genotyped the microorganism as Mycobacterium bovis, Bacillus Calmette-Guerin (BCG). Herein, we report a rare case of osteomyelitis that we believe resulted from a BCG vaccine that the patient had received outside the United States. [ABSTRACT FROM AUTHOR]