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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 …
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.