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How Can An Axillary Lymph Node Enlargement In A Child Be Treated?

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Posted on Tue, 29 Aug 2017
Question: Hi...My 4 month old baby developed an axilliary lymph node enlargement 3 weeks back. The doc gave augmentin antibiotics for a week. The bcg was given at birth.But we didn't refrigerate the medicine before giving it. The node has settled little bit after that. But it's not yet gone completely. Doc said this is bcg lump. How long will it take for the lump to disappear?
doctor
Answered by Dr. Pradeep Kumar Jain (36 minutes later)
Brief Answer:
Don't worry, wait patiently

Detailed Answer:
Hi

Thanks for choosing this platform

Enlargement of lymph node on the same side of vaccination can occur following BCG vaccination and it is just a reaction to the vaccine. You have mentioned that the vaccine was not properly stored but this reaction suggests the development of immunity(shows good efficacy of vaccine) . So you need to worry about the storage.
Most commonly it is seen within 2-4 months of vaccination.
No treatment is needed unless there is discharge or signs of secondary infection like rapid enlargement, pain or pus discharge. Most of the time it subsides till 6-8 months of age.
If lymph node persists beyond 9 month and size is more than 3 cm surgical incision may be needed.
So I request you not to worry much and wait patiently.
Just watch for any abnormal signs like rapid enlargement, pain or discharge and if you notice any please consult your pediatrician.

I hope this helps.
Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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How Can An Axillary Lymph Node Enlargement In A Child Be Treated?

Brief Answer: Don't worry, wait patiently Detailed Answer: Hi Thanks for choosing this platform Enlargement of lymph node on the same side of vaccination can occur following BCG vaccination and it is just a reaction to the vaccine. You have mentioned that the vaccine was not properly stored but this reaction suggests the development of immunity(shows good efficacy of vaccine) . So you need to worry about the storage. Most commonly it is seen within 2-4 months of vaccination. No treatment is needed unless there is discharge or signs of secondary infection like rapid enlargement, pain or pus discharge. Most of the time it subsides till 6-8 months of age. If lymph node persists beyond 9 month and size is more than 3 cm surgical incision may be needed. So I request you not to worry much and wait patiently. Just watch for any abnormal signs like rapid enlargement, pain or discharge and if you notice any please consult your pediatrician. I hope this helps. Regards