Accidental self-inoculation in a veterinarian with attenuated vaccine of bovine Johne’s disease

Abstract

Herein, we described the first case of self-inoculation in a veterinarian with bovine Johne's disease(BJD) attenuated vaccine in Iran that required medical attention. A needle-stick injury to the right thumb of ayoung veterinarian during vaccination of cattle with BJD vaccine resulted in an inflammation that not onlyfailed to resolve but also progressed to a lesion 2.5 cm in diameter. The usual conservative treatment of thiswound was not effective. Surgical intervention for debridement of the inflammatory tissue was notperformed. For diagnosis of lesion, needle biopsy was prepared from the inflamed tissue mass.Histopathologic examination revealed a tuberculoid granulomatous inflammation without any caseousnecrosis. The wound healed by taking rifampin.