Disseminated Bacille Calmette-Guérin infection in a patient with severe combined immunodeficiency caused by JAK3 gene mutation

Pediatr Dermatol. 2019 Sep;36(5):672-676. doi: 10.1111/pde.13884. Epub 2019 Jul 16.

Abstract

Bacille Calmette-Guérin (BCG), a live attenuated vaccine prepared using Mycobacterium bovis, can prevent tuberculosis in children and is routinely administered to infants in China and many other countries. A serious complication following vaccination is disseminated BCG infection. The risk is greatly increased in patients with severe combined immunodeficiency disease (SCID), a syndrome characterized by deficiency of both humoral and cellular immunity. We report a case of disseminated BCG infection in an infant with SCID caused by two novel janus kinase 3 (JAK3) gene mutations.

Keywords: JAK3; Bacille Calmette-Guerin (BCG); mutation; severe combined immunodeficiency; vaccination.

Publication types

  • Case Reports

MeSH terms

  • Adjuvants, Immunologic / adverse effects*
  • BCG Vaccine / adverse effects*
  • Female
  • Humans
  • Infant
  • Janus Kinase 3 / genetics*
  • Mutation / genetics*
  • Mycobacterium bovis
  • Severe Combined Immunodeficiency / complications*
  • Severe Combined Immunodeficiency / genetics
  • Tuberculosis / etiology*

Substances

  • Adjuvants, Immunologic
  • BCG Vaccine
  • JAK3 protein, human
  • Janus Kinase 3