Oyelami SA, et al.     Severe post-vaccination reaction to 17D yellow fever vaccine in Nigeria. Rev Roum Virol. 1994 Jan-Jun;45(1-2):25-30. PMID: 7756161; UI: 95275719.    

"A girl of five years had received the usual three injections of toxin-antitoxin in 1926 when one year old. In 1927 she was pronounced Schick-negative. She developed diphtheria in 1930, and an injection of serum was given in the left gluteal region, followed three days later by a second dose on the opposite side. In three hours the buttock began to swell and became extremely tender, until eventually the whole region became black and gangrenous. By the ninth day a deep area of ulceration appeared at the margin separating the necrotic tissue from the normal. (See Fig. 1.)
    On the twelfth day the child began to complain of extreme pain over the right lower quadrant of this area, and an incision yielded thick yellow pus. From now onwards the condition spread over the abdominal wall and thigh until the sixteenth day, when a large necrotic mass 6" by 8" was cut away under anaesthesia. The author writes; "This large piece of gangrenous skin with subcutaneous fat and fascia was lifted off much as a lid from a stove... . . the underlying muscles lay exposed almost entirely independent of fascia which aloughed, and a large amount of which had come away in the discharge. After apposition, the muscles lay exposed much as in an anatomic dissection." (Figs. 2, 3.) In spite of assiduous irrigation of the wound she became rapidly worse, suffering considerable pain. Following a blood transfusion on the twenty-seventh day of illness, she became cyanotic, vomited, lost consciousness and died a few hours afterwards."--Beddown Bayly THE ARTHUS PHENOMENON [Book 1939] The Schick Inoculation Against Diphtheria--- Beddow Bayley