tailieunhanh - báo cáo khoa học: "Bacillus Calmette-Guérin-related cold thigh abscess as an unusual cause of thigh swelling in infants following BCG vaccine administration: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bacillus Calmette-Guérin-related cold thigh abscess as an unusual cause of thigh swelling in infants following BCG vaccine administration: a case series | Al Namshan et al. Journal of Medical Case Reports 2011 5 472 http content 5 1 472 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Bacillus Calmette-Guérin-related cold thigh abscess as an unusual cause of thigh swelling in infants following BCG vaccine administration a case series 1 1 1 1 1 2 Mohammad Al Namshan Omar Oda Jameela Almaary Saud Al Jadaan Stanley Crankson Esam Al Banyan Mohammad Al Shaalan2 and Mohammad Zamakhshary1 Abstract Introduction Thigh swelling in an infant can be a symptom of a simple benign condition or a life-threatening condition. We observed a cluster of thigh swelling episodes in infants in which the cause was Bacillus Calmette-Guérin-related cold thigh abscess. We report this unusual case series to raise awareness about this diagnosis. Case presentations We performed a retrospective review of five infants four boys and one girl who presented with Bacillus Calmette-Guérin-related left thigh abscess. The swelling was noticed by the parents at a mean period of three months prior to presentation. The ages at presentation were five five eight and nine months for the boys and six months for the girl. All of the patients were healthy Saudi infants and received the Bacillus Calmette-Guérin vaccine at birth. Clinically all of the patients were well and did not demonstrate signs of systemic infection. All patients underwent needle aspiration with subsequent incision and drainage in four of the five cases. The cultures obtained from the abscess fluids were the key to establishing the diagnosis. Only three patients 60 received antituberculosis drugs. Wound healing lasted for a mean period of approximately seven months. Two-year follow-up was unremarkable for all of our patients. Conclusions Technical errors continue to be significant in the development of vaccine-related complications. Bacillus Calmette-Guérin-related cold thigh abscess is an extremely rare entity. Introduction Bacillus Calmette-Guérin BCG .