BCG vaccine reactivation after mRNA immunization against COVID-19: case report

The Bacillus Calmette-Guérin (BCG) vaccine is a live attenuated pathogen vaccine used to prevent severe types of tuberculosis. A related immunological event is its scar reactivation. It is usually associated with Kawasaki disease and the use of other immunizers. In this report, we aim to describe th...

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Published in:Revista médica de Minas Gerais Vol. 33; p. e-33405
Main Authors: José Paulo Ribeiro Júnior, Maria do Carmo Araújo Palmeira Queiroz, Arnoud de Lucena Flor, Clause Willdys Medeiros Dantas
Format: Journal Article
Language:English
Published: Associação Médica de Minas Gerais 01-10-2023
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Abstract The Bacillus Calmette-Guérin (BCG) vaccine is a live attenuated pathogen vaccine used to prevent severe types of tuberculosis. A related immunological event is its scar reactivation. It is usually associated with Kawasaki disease and the use of other immunizers. In this report, we aim to describe the case of a 24-year-old woman with BCG vaccine scar reactivation after administering a Messenger RNA (mRNA) vaccine against COVID-19, BNT162b2. The pathophysiology involved in the scarring reactivation of the BCG vaccine is related to the chaperone proteins. There are still no cases reported in Brazil of BCG scar reactivation after mRNA vaccines. Nevertheless, we conclude that there is no evidence that such a reaction contraindicates a new dose of the vaccine.
AbstractList The Bacillus Calmette-Guérin (BCG) vaccine is a live attenuated pathogen vaccine used to prevent severe types of tuberculosis. A related immunological event is its scar reactivation. It is usually associated with Kawasaki disease and the use of other immunizers. In this report, we aim to describe the case of a 24-year-old woman with BCG vaccine scar reactivation after administering a Messenger RNA (mRNA) vaccine against COVID-19, BNT162b2. The pathophysiology involved in the scarring reactivation of the BCG vaccine is related to the chaperone proteins. There are still no cases reported in Brazil of BCG scar reactivation after mRNA vaccines. Nevertheless, we conclude that there is no evidence that such a reaction contraindicates a new dose of the vaccine.
Author Clause Willdys Medeiros Dantas
José Paulo Ribeiro Júnior
Maria do Carmo Araújo Palmeira Queiroz
Arnoud de Lucena Flor
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  fullname: José Paulo Ribeiro Júnior
  organization: Department of Dermatology, University Hospital Onofre Lopes of Federal University of Rio Grande do Norte (UFRN), Rio Grande do Norte, Brazil
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  fullname: Maria do Carmo Araújo Palmeira Queiroz
  organization: Department of Dermatology, University Hospital Onofre Lopes of Federal University of Rio Grande do Norte (UFRN), Rio Grande do Norte, Brazil
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  fullname: Arnoud de Lucena Flor
  organization: Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil
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  orcidid: 0000-0003-2935-6740
  fullname: Clause Willdys Medeiros Dantas
  organization: Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil
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Snippet The Bacillus Calmette-Guérin (BCG) vaccine is a live attenuated pathogen vaccine used to prevent severe types of tuberculosis. A related immunological event is...
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bcg vaccine
covid-19
Title BCG vaccine reactivation after mRNA immunization against COVID-19: case report
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