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A 4-month-old boy presented with fever, lethargy and irritability on a background of faltering growth. He was pale, febrile, in respiratory distress. He had red papular skin lesions on torso and a large discharging ulcer at BCG inoculation site (administered shortly after birth) (figure 1).
He was anaemic (haemoglobin 4.8 g/dL) and lymphopenic (1.16×109/L) …