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Localized abscess in the same site of bacillus Calmette-Guerin (BCG) vaccine is a known complication. However, the occurrence of such abscess at other sites is uncommon. We, hereby, report a case of 4-month-old female child who developed a swelling at left thigh following intramuscular injection at 6 weeks vaccination. Aspiration cytology of abscess showed granulomatous inflammation and positivity for acid-fast bacilli. The exact etiology for this presentation is unknown; however, wrongfulfatcat:rrsanmxf6nbe7fgfdwnz2652se