title: Role of needle aspiration in diagnosis and management of suppurative bacille calmette-guerin adenitis: an institutional study of 30 cases.
abstract: BACKGROUND
  Regional lymphadenitis is the most common complication of bacille Calmette-Guerin (BCG) vaccination. Most of the BCG lymphadenitis cases are nonsuppurative, but some suppurate and follow abscess formation, rupture, ulceration and cicatrization. Needle aspiration is the rapid, safe and cost-effective method for diagnosis as well as management of suppurative BCG adenitis.
  
  
  OBJECTIVE
  The aims of the present study were to assess the clinical and cytological spectrum of BCG lymphadenitis and to evaluate the role of needle aspiration in the management of suppurative BCG lymphadenitis.
  
  
  METHODS
  We have approached every cases of ipsilateral axillary lymphadenopathy having history of BCG vaccination. We designed to aspirate the suppurative axillary lymph nodes and follow-up of nonsuppurative cases.
  
  
  METHODS
  30 cases of BCG adenitis were studied during a period of 2 years. 12 cases of suppurative lymphadenitis were approached by needle aspiration and cytologically evaluated, and all the cases were followed-up for 12 weeks after diagnosis. Anti-tubercular drugs were not applied, and surgical excision was reserved for nonhealing lesions.
  
  
  METHODS
  Data tables.
  
  
  RESULTS
  Ipsilateral axillary lymph nodes were commonest site and none had constitutional symptoms. Acid-fast bacilli were detected in 11 (91.67%) cases of suppurative BCG lymphadenitis. On follow-up all nonsuppurative adenitis were resolved spontaneously, and 8 suppurative lymphadenitis cases were resolved after 4 weeks of needle aspiration. Four cases needed repeat aspiration among which 3 resolved in 8 weeks, and one needed surgical excision.
  
  
  CONCLUSIONS
  We recommend needle aspiration as a simple, safe, chief and effective modality, which helps in diagnosis as well as in management of suppurative BCG lymphadenitis.
authors.affiliation: Department of Pathology, B. S. Medical College, Bankura, West Bengal, India.
authors.forename: Subrata
authors.initials: S
authors.lastname: Pal
authors.affiliation: Department of Pathology, Calcutta National Medical College, Kolkata, West Bengal, India.
authors.forename: Srabani
authors.initials: S
authors.lastname: Chakarabarti
authors.affiliation: Department of Pathology, B. S. Medical College, Bankura, West Bengal, India.
authors.forename: Jyoti Prakash
authors.initials: JP
authors.lastname: Phukan
authors.affiliation: Department of Pathology, Medical College and Hospital, ICARE, Haldia, West Bengal, India.
authors.forename: Sudhanya
authors.initials: S
authors.lastname: Biswas
authors.affiliation: Department of Pathology, B. S. Medical College, Bankura, West Bengal, India.
authors.forename: Anuradha
authors.initials: A
authors.lastname: Sinha
authors.affiliation: Department of Pathology, B. S. Medical College, Bankura, West Bengal, India.
authors.forename: Rajani
authors.initials: R
authors.lastname: Sinha
keywords: Bacille Calmmette–Guerin; lymphadenitis; needle aspiration