4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
My wife delivered our baby boy on 21/08 and after 1 month we just went back to the hospital for normal check up( for baby ). The doctor found out that our baby is having the Calmette Guerin bacillus(BCG) lymphadenitis and i want to know beside the vaccine related factors, what are the host related factors that can cause this BCG Lymphadenitis. It is only HIV affected( mother or baby ) will be having this BCG Lymphadenitis? How about those not affected by HIV virus( mother or baby ),can the baby having this BCG Lymphadenitis as well? My wife was checked( HIV test ) when she was pregnant( 15 months ) and test result is Negative. Conclusion is whether the parents and baby is affected with HIV virus? Can BCG Lyphadenitis be cure permanently? How long does one need to take to totally cure it?
Answer
Yes, it is possible to have BCG lymphadenitis even if the child is HIV negative. This can occur if the vaccine has gone subcutaneously or deep inside or given low on the deltoid muscle. BCG adenitis can also occur in patients who have congenital immunodeficiency, but they also have other signs that may point to problems of immunodeficiency.
Treatment for BCG adenitis:
1. If node less than 1cm and not growing, leave it alone.
2. If node more than 1 cm and growing, or any node more than 1.5 cms, treat with anti tuberculous drugs for 6 months
3. If lymph node to large, excision biopsy will be required.
BCG adenitis is curable but treatment required is for minimum 6 months.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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