ABSTRACT

Mycobacterium paratuberculosis causes Johne’s disease in cattle, a chronic granulomatous enteritis for which a killed vaccine is commercially available. We present a case of a veterinarian who had an unintended needle-stick with injection of vaccine material. He developed a granulomatous dermatitis with acid-fast bacilli identified on pathology of affected tissue. It is important for health-care providers who care for patients at risk for unintended vaccine exposure to be aware of the possible sequelae after exposure and provide appropriate treatment based on the severity of the injury and subsequent tissue response.

中文翻译：

---

意外自我接种牛副结核疫苗导致肉芽肿性皮炎抗酸杆菌阳性

摘要

副结核分枝杆菌会引起牛的约内氏病，这是一种慢性肉芽肿性肠炎，可商购灭活疫苗。我们介绍了一个兽医的案例，他在注射疫苗材料时意外被针刺伤。他患上了肉芽肿性皮炎，在受影响组织的病理学上发现了抗酸杆菌。对于护理有意外接触疫苗风险的患者的医疗保健提供者来说，了解接触后可能的后遗症并根据损伤的严重程度和随后的组织反应提供适当的治疗非常重要。