Chronic Mycobacterium Infection of First Dorsal Web Space After Accidental Bacilli Calmette-Guérin Injection in a Health Worker: Case Report

We present a case of inoculation of the first dorsal web space by a nurse practitioner who accidentally stuck herself while preparing Bacilli Calmette-Guérin vaccine for treatment of bladder tumor. We report the evolution and management of this resistant chronic Mycobacterium infection that ultimately required use of a vacuum wound management system followed by a microvascular free tissue transfer.