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Miscellanea
Images in paediatrics
BCG reactivation in an infant with multisystem inflammatory syndrome in children
  1. Prabhakar Patil1,
  2. Vivek Mundada2
  1. 1 Paediatrics and Neonatology, Aster DM Healthcare, Dubai, UAE
  2. 2 Paediatric Neurology, Aster DM Healthcare, Dubai, UAE
  1. Correspondence to Dr Prabhakar Patil, Paediatrics and Neonatology, Aster DM Healthcare, Dubai, UAE; prabhakar.patil{at}medcarehospital.com

https://doi.org/10.1136/archdischild-2022-324614

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    A 55-day-old infant presented with a history of fever for 3 days. On examination, his BCG site was erythematous and ulcerated (figure 1). Systemic examination and blood pressure were normal. The C-reactive protein was raised, and cerebrospinal fluid (CSF) was acellular. D-dimer and N-terminal probrain natriuretic peptide levels were elevated (table 1). He developed diarrhoea and a maculopapular rash on the following day, which raised the possibility of multisystem …

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    Footnotes

    • Twitter @vbmundada

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.