Six infants had caseating regional lymphadenitis complicating BCG vaccination. There was a delayed onset and a lack of immediate vaccination complications. Three infants had frank abscesses. Additional affected nodes undetected clinically were found at operation in all cases. All lymph nodes contained tubercles, 3 showing acidfast bacilli, 2 of which grew Mycobacterium bovis. Complete excision followed by antituberculous chemotherapy produced satisfactory results.
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Tam, P. K. H., Stroebel, A. B., Saing, H., Lau, J. T. K., & Ong, G. B. (1982). Caseating regional lymphadenitis complicating BCG vaccination: A report of 6 cases. Archives of Disease in Childhood, 57(12), 952–954. https://doi.org/10.1136/adc.57.12.952