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本文报告1例患者用皮上划痕法接种卡介苗(BCG)后11年和18年两次发生淋巴结炎。患者为1名45岁白人妇女,18年前在担任实习护士期间因结核菌素阴性而用皮上划痕法接种标准剂量的冻干BCG。接种后6周用1:1000结核菌素皮试阳性。接种11年后,患者到某医院就诊,从左腋下切除一个2cm大小的肿块。这个肿块为非干酪性坏死肉芽肿,被解释为由结节病引起。患者对5tu的PPD呈17mm的反应,没有作进一步检查与处理。
This article reports 1 patient who developed lymphadenitis twice 11 and 18 years after being vaccinated with bacille Calmette-Guerin (BCG) on the skin. The patient, a 45-year-old white woman, was drenched with a standard dose of lyophilized BCG by dermal scratch method 18 years ago as an intern nurse. 6 weeks after inoculation with 1: 1000 tuberculin skin test positive. Eleven years after vaccination, the patient visits a hospital and removes a 2 cm lump from the left armpit. This mass is a non-caseous necrotizing granuloma, which is interpreted as being caused by sarcoidosis. Patients with 5tu PPD was 17mm response, no further examination and treatment.