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This case study reports 1 college student who received this vaccine and developed severe adverse reactions which were unresponsive to a broad array of anti-tuberculosis medications, including anti-tuberculosis regimens. We compare this case to published reports of intradermal BCG vaccination of young adults and suggest the development of guidelines for safe immunization of college and other young adult populations. Abstract A 23-year-old man was found to have a multi-drug-resistant (MDR) Mycobacterium tuberculosis infection and was treated with amikacin, ciprofloxacin, ethambutol, and pyrazinamide for 11 months. He developed a painful vesicular lesion over the upper arm that was refractory to broad-spectrum anti-tuberculous treatment for more than 2 months before his HLA-DQB1*0501 allele was detected by PCR. Because the case history indicated a possible association between the BCG vaccine and the development of granulomatous disease, the patient was vaccinated with intradermal BCG while under the care of the Tuberculosis Center of New York City (1998-1999), and the lesion became secondarily infected with MDR-M tuberculosis. Characteristics of the patient The patient's age was 23 years, and he was otherwise healthy with no known comorbid conditions or immunosuppressive medications. Tuberculin skin testing and Southern Blot assay had been performed on the patient prior to receiving the BCG vaccine. Administration of BCG vaccine He received intradermal vaccination with BCG Tokyo 172 (Pasteur Merieux Connaught, Montréal, Canada). On the day of vaccination, 400 ml of What's New in the? The present invention relates to a new and distinct cultivar of Calibrachoa plant botanically known as Calibrachoa×hybrida and hereinafter referred to by the cultivar name ‘Balangpi’. The new cultivar originated in a controlled breeding program in Elburn, Ill. The objective of the breeding program was the development of early-flowering Calibrachoa cultivars having unique flower coloration and a mounded-trailing growth habit. The new Calibrachoa cultivar is the result of cross-pollination. The female (seed) parent of the new cultivar is the proprietary Calibrachoa×hybrida breeding selection coded D52-12, U.S. Pat. No. 6,149,921, characterized by its moderately vigorous, mounded growth habit, and bright red-colored flowers with dark center dots, moderately large dark green-colored leaves, and medium green-colored young foliage. The male (pollen) parent of the new cultivar is unknown. The new cultivar was discovered and selected as a single flowering plant within the progeny of the above stated cross-pollination during August 2007 in a controlled environment in Elburn, Ill. Asexual reproduction of the new cultivar by terminal stem cuttings since August 2007 in West Chicago, Ill. and Elburn, Ill. has demonstrated that the new cultivar reproduces true to type with all of the characteristics, as herein described, firmly fixed and retained through successive generations of such asexual propagation.East West Players East West Players (often abbreviated EWP, EWP, or EW) is a non-profit, theater organization based in Pasadena, California that produces and co-produces predominantly Asian-American works. For its artistry, the theater was named one of America’s most distinguished regional theaters in the National Theaters Survey of 1992, and the organization is best known for its annual "Asian American Awards" as part of the American Theatre Wing's National Theatre Festival. History East West Players was established in 1969 by a group of local Pasadena actors and directors who wanted to establish a public-access theater in the city. Their first production was a play, The First Five Years, which won the San Diego Drama Critics’ Circle award. In 1971, the group decided to found the theater. By the late 1970s, the theater opened additional performances spaces in a space in the Sherwin- System Requirements: 5.0 or greater Minimum OS: Windows 7 SP1, Windows 8.1, Windows 10 Minimum CPU: Intel Core i5-3300 @ 3.4 GHz / AMD Phenom II X4 940 @ 3.2 GHz / Core i7-3770 @ 3.4 GHz Minimum RAM: 8 GB Minimum GPU: Nvidia GeForce GTX 660 / AMD Radeon HD 7870 Minimum DirectX: 11 * The recommended operating system is Windows 7 SP1, Windows 8.1, Windows 10. *
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