PMC3271300_01
The detection of BCG substrain using the multiplex polymerase chain reaction. The sample of this patient shows an identical amplification with the Mycobacterium bovis BCG Tokyo-172 strain. M, marker; N, negative; MTB, M. tuberculosis; Pasteur, M. bovis BCG Pasteur; Tokyo, M. bovis BCG Tokyo-172.
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F1
BCG Tokyo-172 strain on the multiplex PCR for the Mycobacterium complex colony (Fig. 1). Based on these findings, the diagnosis of osteomyelitis due to Tokyo-172 BCG vaccination was confirmed.
Magnetic resonance image showing a high signal intensity and enhancement in head of proximal radius. Synovial hypertrophy and fluid collection in elbow joint.
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F2
However, after two months of treatment, MRI showed no interval change (Fig. 2).