Tam P K, Stroebel A B, Saing H, Lau J T, Ong G B
Arch Dis Child. 1982 Dec;57(12):952-4. doi: 10.1136/adc.57.12.952.
Six infants had caseating regional lymphadenitis complicating BCG vaccination. There was a delayed onset and a lack of immediate vaccination complications. Three infants had frank abscesses. Additional affected nodes undetected clinically were found at operation in all cases. All lymph nodes contained tubercles, 3 showing acid-fast bacilli, 2 of which grew Mycobacterium bovis. Complete excision followed by antiuberculous chemotherapy produced satisfactory results.
6名婴儿发生了伴有卡介苗接种并发症的干酪样区域性淋巴结炎。发病延迟,且无接种后即刻并发症。3名婴儿出现明显脓肿。所有病例在手术中均发现临床上未检测到的其他受累淋巴结。所有淋巴结均含有结核结节,3个显示抗酸杆菌,其中2个培养出牛分枝杆菌。完整切除后进行抗结核化疗取得了满意效果。