Post BCG axillary lymphadenitis
Author:
EMAN FOUDA
Question
A 10 months old girl presented with left sided axillary lymphadenitis. There is no other lymphnode enlargement. Chest is clear and there is no fever. These lymph nodes burst spontaneously with caseous material so there is possibility of post BCG lymphadenitis.
Should we give antituberculous therapy and how many medications are to be used and for how long_?
Expert Opinion :
Conservative therapy is recommended for non-suppurative cases, although
data are lacking for optimal management {Goraya and Virdi, 2002` Goraya and
Virdi, 2001}. The optimal therapy for suppurative lymphadenitis is also uncertain,
and conservative management, antituberculous chemotherapy, incision and
drainage, and surgical excision have all been employed {Lotte et al., 1988}. In the
immunocompetent individual, gradual resolution with or without spontaneous
drainage generally occurs.
References
Goraya, J.S. and Virdi, V.S. {2001}. Pediatr. Infect. Dis. J. 20, 632–634.
Goraya, J.S. and Virdi, V.S. {2002}. Postgrad. Med. J. 78, 327–329.
Lotte, A., Wasz-Hockert, O., Poisson, N., Engbaek, H., Landmann, H., Quast, U. et al. {1988}. Bull. Int.
Union Tuberc. Lung Dis. 63, 47–59.