ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM HẠCH BẠCH HUYẾT DO VACCINE BCG Ở TRẺ TỪ 0-60 THÁNG TUỔI

Abstract

Background: Bacille Calmette-Gúerin (BCG) lymphadenitis is condition of lymph nodes in armpits, supraclavicular region or low left region of the neck enlarging after BCG vaccination. Objective: To describe clinical features and evaluate treatment results of BCG lymphadenitis in children aged 0-60 months. Materials and methods: A descriptive cross-sectional study was performed in 50 children treated at Can Tho City Children's Hospital in 2019. Results: Male/female ratio was 1.63/1. The median time of detection was 4 months. Lymph nodes’ positions were left armpit (92%), left supraclavicular region (6%), average size 2.19 ± 1.05 cm. There were mobilizing lymph nodes (86%), redness (50%), pain (46%), suppuration (26%), pus discharge (6%). There were 27 children monitored, and the average size was 1.76 ± 0,92 cm. After 6 months the result was lymph nodes <1 cm (55.56%), self-ruptured (22.22%), unchanged (18.50%) and increased ones’ size (3.73%). There were 17 children with surgical incision and drainage in which once drainage was cured (94.12%), and the most common complication was prolonged wound oozing (35.3%). There were six children performed surgical excision. Complication after surgical excision was seroma (17.67%). The average recovery time of 3 treatments was 2.56 ± 1.10 months. Conclusion: Inflamed lymph node is common in the left armpit, often mobile, painful, red. Treatment is mainly monitored, self-healing (55.56%). The surgical incision and drainage cured (92.86%) once incision, the complication was prolonged wound oozing (35.3%). Surgical excision results in very high cure rate (100%) in one intervention, the complication was seroma (17.67%). The average recovery time of 3 treatments was 2.56 ± 1,10 months.