Cerdá de Palou E, de Santy H P R M
GGD Oostelijk Zuid-Limburg, Postbus 155, 6400 AD Heerlen.
Ned Tijdschr Geneeskd. 2003 Mar 22;147(12):569-72.
A healthy 14-months-old boy developed suppurative adenitis some weeks after Bacillus Calmette Guérin (BCG) vaccination. The tumour grew rapidly, showed fluctuation and eventually incision was needed. Culture of the abscess was negative. The diagnosis was: regional lymphadenitis after BCG vaccination. This suppurative lymphadenitis is a non-serious complication of BCG vaccination and has been reported in 0.1 to 4% of those vaccinated. As the BCG vaccination is given only to the at-risk population in the Netherlands, BCG complications are rare. Non-suppurative nodal swellings are considered a normal post-vaccination reaction and do not require treatment.
一名健康的14个月大男孩在接种卡介苗(BCG)几周后发生了化脓性腺炎。肿瘤迅速生长,出现波动感,最终需要切开引流。脓肿培养结果为阴性。诊断为:卡介苗接种后局部淋巴结炎。这种化脓性淋巴结炎是卡介苗接种的一种非严重并发症,在0.1%至4%的接种者中有所报道。由于荷兰仅对高危人群接种卡介苗,卡介苗并发症较为罕见。非化脓性淋巴结肿大被认为是接种后的正常反应,无需治疗。