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Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report

Suppurative BCG lymphadenitis can easily be overlooked, as it mimics other diseases such as tuberculous lymphadenitis. A case of a three-month old female infant who received the BCG vaccination at birth presented with isolated left axillary mass at two months of age. She was initially treated as lym...

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Main Authors: Muhamad Damanhur, Fatimahtuz Zahrah, Mahayidin, Hasni, Kandasamy, Thenmalar, Zaini, Adilahtul Bushro, Masri, Siti Norbaya, Nordin, Syafinaz Amin
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/90214/1/7.pdf
http://psasir.upm.edu.my/id/eprint/90214/
https://medic.upm.edu.my/upload/dokumen/2020091012182008_2019_0335.pdf
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spelling my.upm.eprints.902142021-09-09T21:43:19Z http://psasir.upm.edu.my/id/eprint/90214/ Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report Muhamad Damanhur, Fatimahtuz Zahrah Mahayidin, Hasni Kandasamy, Thenmalar Zaini, Adilahtul Bushro Masri, Siti Norbaya Nordin, Syafinaz Amin Suppurative BCG lymphadenitis can easily be overlooked, as it mimics other diseases such as tuberculous lymphadenitis. A case of a three-month old female infant who received the BCG vaccination at birth presented with isolated left axillary mass at two months of age. She was initially treated as lymph node abscess but was referred to the hospital due to the increasing size of the swelling. Needle aspiration was done and the microbiology analysis came out positive for acid-fast bacilli. She was planned for syrup isoniazid; however, the management team withheld treatment until they were certain of the identity of the bacteria. The bacteria was confirmed by the molecular method to be Mycobacterium bovis BCG strain. The case report highlights the importance of the microbiology investigations for appropriate management in this case. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020-09 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/90214/1/7.pdf Muhamad Damanhur, Fatimahtuz Zahrah and Mahayidin, Hasni and Kandasamy, Thenmalar and Zaini, Adilahtul Bushro and Masri, Siti Norbaya and Nordin, Syafinaz Amin (2020) Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report. Malaysian Journal of Medicine and Health Sciences, 16 (spec. 1). pp. 38-40. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020091012182008_2019_0335.pdf
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Suppurative BCG lymphadenitis can easily be overlooked, as it mimics other diseases such as tuberculous lymphadenitis. A case of a three-month old female infant who received the BCG vaccination at birth presented with isolated left axillary mass at two months of age. She was initially treated as lymph node abscess but was referred to the hospital due to the increasing size of the swelling. Needle aspiration was done and the microbiology analysis came out positive for acid-fast bacilli. She was planned for syrup isoniazid; however, the management team withheld treatment until they were certain of the identity of the bacteria. The bacteria was confirmed by the molecular method to be Mycobacterium bovis BCG strain. The case report highlights the importance of the microbiology investigations for appropriate management in this case.
format Article
author Muhamad Damanhur, Fatimahtuz Zahrah
Mahayidin, Hasni
Kandasamy, Thenmalar
Zaini, Adilahtul Bushro
Masri, Siti Norbaya
Nordin, Syafinaz Amin
spellingShingle Muhamad Damanhur, Fatimahtuz Zahrah
Mahayidin, Hasni
Kandasamy, Thenmalar
Zaini, Adilahtul Bushro
Masri, Siti Norbaya
Nordin, Syafinaz Amin
Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report
author_facet Muhamad Damanhur, Fatimahtuz Zahrah
Mahayidin, Hasni
Kandasamy, Thenmalar
Zaini, Adilahtul Bushro
Masri, Siti Norbaya
Nordin, Syafinaz Amin
author_sort Muhamad Damanhur, Fatimahtuz Zahrah
title Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report
title_short Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report
title_full Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report
title_fullStr Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report
title_full_unstemmed Suppurative BCG lymphadenitis and the importance of microbiology investigations – a case report
title_sort suppurative bcg lymphadenitis and the importance of microbiology investigations – a case report
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/90214/1/7.pdf
http://psasir.upm.edu.my/id/eprint/90214/
https://medic.upm.edu.my/upload/dokumen/2020091012182008_2019_0335.pdf
_version_ 1712286767527231488
score 13.211869

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