title: Imaging findings after fascial injection of tetanus vaccine.
abstract: Adverse reactions to vaccines vary from mild to fatal. Local reactions are often due to hypersensitivity to the adjuvant substances in the vaccine. This case report aims at illustrating the imaging findings of a fascial injection of the tetanus vaccine. A 14 year-old boy, vaccinated 6 months previously presented with a mass lesion in the left deltoid area. Magnetic resonance imaging and ultrasonographic evaluations were performed and the findings were characteristic for fascial granuloma. The histopathologic examination confirmed the diagnosis. In our knowledge, this is the first case of granuloma post intrafascial injection of tetanus vaccine which was MRI and ultrasonographic evaluated and histopathologicly confirmed.
authors.affiliation: Kasimpasa Military Hospital, Department of Radiology, Istanbul, Turkey.
authors.forename: Duzgun
authors.initials: D
authors.lastname: Yildirim
authors.forename: Bengi
authors.initials: B
authors.lastname: Gurses
authors.forename: Cuneyt
authors.initials: C
authors.lastname: Tamam
authors.forename: Ercan
authors.initials: E
authors.lastname: Karaaslan
authors.forename: Atilla
authors.initials: A
authors.lastname: Ersen
authors.forename: Umit
authors.initials: U
authors.lastname: Ince
mesh_terms: D000293:Adolescent; D003287:Contrast Media; D004342:Drug Hypersensitivity / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005205:Fascia; D006099:Granuloma / Q000139:chemically induced* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013745:Tetanus Toxoid / Q000009:adverse effects*; D014463:Ultrasonography
chemical_list: D003287:Contrast Media; D013745:Tetanus Toxoid