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Pediatría de México

ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)
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2011, Number 2

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Pediatr Mex 2011; 13 (2)

Lymphadenitis due to BCG in a 23-day old newborn

Ávila RR, Camacho RRI, Sánchez ZMH, Velázquez QNI, Yunes ZJLM
Full text How to cite this article

Language: Spanish
References: 6
Page: 76-78
PDF size: 231.33 Kb.


Key words:

BCG, lymphadenitis, BCGitis.

ABSTRACT

Introduction: Immunization with BCG gives reactions like lymph node enlargement. We describe a case of lymphadenitis.
Clinical case: Newborn with weight of 3,310 kg newborn 49 cm tall at 25 days of age, 37.5 °C temperature irritability, inexplicable constant crying and moaning was detected physical examination revealed BCG’s injection site in pustule stage, in right armpit a mass with 3 cm in diameter, firm and fixated to deep tissues, painful to touch. Clinical diagnosis was BCG’s non suppurative regional lymphadenitis. Only analgesic an anti-inflammatory treatment was administered with total recovery at 45 days of age.
Discussion: Suppurative or non suppurative BCG regional lymphadenitis is present in basis of strain, dosage, age at immunization and technique in application of the vaccine. Present case was immunized with japanese strain. The relevance of this case is the youngest case report with this reaction.


REFERENCES

  1. Vacuna contra la tuberculosis en: Manual de Vacunas de Latinoamérica 2005: 65-74.

  2. Rodríguez-Acar M, Padilla-Desgarennes MC, Beirana-Palencia A, Santa-Coloma JN, Ramos-Garibay JA, Denis-Rodríguez E, Schwartzberg J. Linfadenitis posterior a vacunación con el bacilo Calmette-Guérin. Comunicación de dos casos. Rev Cent Dermatol Pascua 2005; 14: 136-141.

  3. González-Saldaña N, Gómez-Barreto D, Coria-Lorenzo JJ. Vacuna contra la tuberculosis. En: Avances en infectología pediátrica 1ª Ed. Medicina & Mercadotecnia 2003: 179-182.

  4. Goraya JS, Virdi VS. Treatment of Calmette-Guérin Bacillus Adenitis: A metaanalysis. Pediatr Infect Dis J 2001; 20: 632-634.

  5. Singla A, Singh S, Goraya J Radhika S, Sharma M. The natural course of nonsuppurative Calmette-Guérin bacillus lymphadenitis. Pediatr Infect Dis J 2002; 21: 446-448.

  6. Elizunda-Charles F, Sampedro-Pereda JM. Un caso de BCGitis en un lactante menor de 45 días de edad. Acta Médica Grupo Ángeles 2007; 5: 41-42.




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C?MO CITAR (Vancouver)

Pediatr Mex. 2011;13