Korean J Pediatr Infect Dis.  2009 Jun;16(1):80-86.

Clinical Features of BCG Lymphadenitis

Affiliations
  • 1Department of Pediatrics, College of Medicine, Korea University, Korea. byelhana@korea.ac.kr

Abstract

PURPOSE:This study was performed to determine the clinical course of BCG lymphadenitis.
METHODS
Between May 2005 and April 2009, the medical records of 33 patients with BCG lymphadenitis were retrospectively reviewed. If needed, needle aspiration was recommended without surgical resection or antituberculous medication.
RESULTS
Of the 33 patients who were identified, 21 were males and 12 were females. Among the 33 patients, 32 were full-term babies. The mean age was 6 months (range, 2-35 months) and the most prevalent site of the lesion was the left axilla. BCG lymphadenitis was observed 1-34 months after BCG vaccination, mostly 1-6 months after vaccination. The size of the enlargement was generally 1-3 cm. The strains were identified as French (n=14), Danish (n=7), and Tokyo (n=12). BCG lymphadenitis regressed spontaneously in 19 patients. After 1-5 needle aspirations, 14 patients recovered completely. Complete regression of lymphadenitis was recorded over an average period of 4 months.
CONCLUSION
Clinicians need to be aware of the clinical features of BCG lymphadenitis. For management of BCG lymphadenitis, regular follow-up with observation should be the mainstay. Needle aspiration is a safe and easy treatment for suppurative BCG lymphadenitis.

Keyword

BCG vaccine; Lymphadenitis; Management

MeSH Terms

Aspirations (Psychology)
Axilla
BCG Vaccine
Female
Follow-Up Studies
Humans
Lymphadenitis
Male
Medical Records
Mycobacterium bovis
Needles
Retrospective Studies
Tokyo
Vaccination
BCG Vaccine
Full Text Links
  • KJPID
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr