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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) …
Contributors PF and PJG conceived case report. PF prepared first draft of manuscript, and co-ordinated and edited contributions of other authors. All other authors provided contributions and revisions, and approved the final draft of the manuscript. TRL and PJG also provided senior supervision.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.