Following bcg vaccination a child aged two and half months comes with swelling in axilla and measuring around 1.5 cms the swlling is slightly red and seems to be non tender what should be done? What does it mean? Should we investigate the baby? The baby has no fever and is very healthy and fine with steady weight gain how safe is bactrim for any patient? Can it be still safely used after asking for history of sulfa reaction for urti , utis and travel diarrhoes?

The child could be suffering from BCG lymphadenitis. Please read the article on BCG vaccination from www.pediatriconcall.com or from the link given below:

http://www.pediatriconcall.com/bcg_vaccine.htm

Regarding safety of Bactrim - any antibiotic has adverse effects. Even is a patient has negative history of sulfa reaction, he/she may still develop other adverse reactions such as Skin rash: (Stevens-Johnson syndrome, exfoliative dermatitis); renal failure; neutropenia; nausea, vomiting, anorexia, photosensitivity and hepatitis. It is still recommended in children for treatment of UTI, diarrhea, toxoplasmosis and PCP pneumonia. Each antibiotic has to be prescribed under doctor's guidance.