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Cold abscess of the thigh in an infant
1Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, Maulana Azad Medical College , Delhi, India.
Abstract:
Local and minor adverse reactions to diphtheria-pertussis-tetanus (DPT) vaccination are usually mild and appear within 48 hours of vaccination. We herein report a rare association with intramuscular DPT injection and discuss pertinent issues. Primary tuberculous abscess was the final diagnosis.
Insights
Local reactions to diphtheria-pertussis-tetanus (DPT) vaccines are typically mild. This report details a rare case of a primary tuberculous abscess developing after an intramuscular DPT injection.
Area of Science:
- Pediatrics
- Immunology
- Infectious Diseases
Background:
- Diphtheria-pertussis-tetanus (DPT) vaccination is a standard pediatric immunization.
- Common adverse reactions to DPT are generally mild and localized.
- Reactions typically manifest within 48 hours post-vaccination.
Observation:
- A rare case of a serious adverse event following DPT vaccination is presented.
- The patient developed a primary tuberculous abscess.
- The abscess formation was associated with the intramuscular injection site.
Findings:
- The study highlights an unusual complication of DPT vaccination.
- A tuberculous abscess, a rare sequela, was diagnosed.
- The intramuscular DPT injection was identified as a potential contributing factor.
Implications:
- This case underscores the importance of considering rare diagnoses in vaccine adverse events.
- Further investigation into potential mechanisms linking DPT injection and tuberculous abscess formation may be warranted.
- Clinicians should remain vigilant for atypical presentations following immunization.
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