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首页> 外文期刊>Hong Kong Journal of Paediatrics >Management of Bacillus Calmette-Guérin Lymphadenitis
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Management of Bacillus Calmette-Guérin Lymphadenitis

机译：卡门芽孢杆菌-格林淋巴结炎的治疗

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摘要

Bacillus Calmette-Guéin (BCG) related regional lymphadenitis is not an uncommon complication following BCG vaccination. We present a case series of 11 infants with suppurative BCG lymphadenitis managed in Hospital Authority Infectious Disease Centre of Hong Kong over a 5-year period. All of them presented with isolated left axillary mass which suppurated at a mean of 3.5 months (range 2 to 5 months) after BCG vaccination. The diagnosis of the condition is basically clinical. Five infants who were initially managed with needle aspiration alone showed significant regression in the sizes of their enlarged lymph nodes and surgical excision was spared. Surgical incision and drainage was performed in 5 other infants prior to referral to our centre. They all developed significant irregular scarring and 2 eventually developed keloids over their scars upon healing. We recommend that suppurative BCG lymphadenitis should be managed initially by needle aspiration. Total excision should be considered if aspiration fails or suppuration recurs despite repeated needle aspiration. Incision and drainage is mentioned to be condemned.
机译：卡介苗接种后，卡介苗（BCG）相关区域淋巴结炎并非罕见。我们介绍了在香港医院管理局传染病中心进行为期5年的11例化脓性BCG淋巴结炎婴儿的病例系列研究。他们所有人均表现出孤立的左腋窝肿块，在接种卡介苗后平均3.5个月（2至5个月）出现化脓。该病的诊断基本上是临床的。最初仅接受针穿刺治疗的五名婴儿的淋巴结肿大明显消退，并且无需进行手术切除。在转诊至我们中心之前，对另外5名婴儿进行了手术切口和引流。他们均在愈合时在其疤痕上形成明显的不规则疤痕，并在其疤痕上最终形成2种瘢痕loid。我们建议化脓性卡介苗淋巴结炎应首先通过针吸治疗。如果抽吸失败或尽管重复进行针抽吸仍化脓仍应考虑完全切除。提到切开和引流是有罪的。

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