Year: 2018 | Month: June | Volume: 8 | Issue: 6 | Pages: 352-356
BCG Osteitis of the Distal Tibia: A Case Report
Svemir Custovic1,2, Sahmir Sadic1,2, Mahir Jasarevic1,2, Amela Pasic3, Ferid Krupic4,5
1Clinic for Orthopaedics and Traumatology, University Clinical Centre Tuzla,
2Department of Orthopedics, School of Medicine, University of Tuzla,
3Department of Pediatrics, University Clinical Centre Tuzla,Tuzla, Bosnia and Herzegovina;
4Department of Orthopaedics Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg,
5Department of Orthopaedics, Sahlgrenska University Hospital Molndal; Sweden
The authors report the case of a 19-month-old girl with an osteolytic lesion in the distal metaphysis of the left tibia. Based on clinical, radiological and histological findings, the authors suspected osteitis following Bacillus Calmette-Guérin (BCG) vaccination. After surgical management and antituberculosis treatment for 12 months, radiological and clinical findings suggest an improvement in the diagnosis. This uncommon case in paediatric practice may be an area of interest to orthopaedic surgeons as well, since the long bones are most frequently affected.
Key words: osteitis of tibia, BCG, case report.