#asktheexpert
My baby is two n a half years old. He has left supraclavicular lymphnode approx 1.5cm in size , mobile oval in shape...no fever or sign of inflammation...feeding normal . CBC normal
can it be post BCG vaccination?
if not, what should be done next sir?

Question

#asktheexpert 
My baby is two n a half years old. He has left supraclavicular lymphnode approx 1.5cm in size , mobile oval in shape...no fever or sign of inflammation...feeding normal . CBC normal
can it be post BCG vaccination?
if not, what should be done next sir?

Accepted Answer

how much time it takes for post vaccination lymph nodes to go mam?
USG is s/o lymph nodes with fatty hilum, no necrosis

Accepted Answer

A palpable lymph node in a young child can be concerning, but there are several potential explanations and steps to consider:

### **Possible Causes:**

1. **Post-BCG Vaccination:**
   - **BCG Reaction:** It is possible for lymph nodes near the site of a BCG vaccination (typically the upper arm) to become enlarged as a reaction to the vaccine. This is usually benign and resolves on its own over time.

2. **Benign Conditions:**
   - **Infections:** Sometimes, lymph nodes enlarge in response to mild infections or inflammations, even without other symptoms like fever.
   - **Non-specific Causes:** Lymph nodes can also be enlarged for reasons not directly related to an infection or illness.

### **Next Steps:**

1. **Monitoring:**
   - **Observation:** Continue to monitor the lymph node for changes in size, consistency, or any new symptoms.

2. **Follow-Up with Pediatrician:**
   - **Consultation:** Since the CBC (Complete Blood Count) and other evaluations are normal, it’s important to keep regular follow-up appointments with your pediatrician.
   - **Further Evaluation:** Your doctor may recommend further evaluation if there are any changes in the lymph node or if additional symptoms develop.

3. **Potential Additional Tests:**
   - **Imaging:** In some cases, your doctor might suggest imaging studies (such as an ultrasound) to assess the lymph node more closely.
   - **Biopsy:** If there are concerns about the lymph node or if it doesn’t resolve, a biopsy might be considered to rule out more serious conditions.

### **When to Seek Immediate Care:**

- **Persistent Symptoms:** If you notice any significant changes in the lymph node or new symptoms such as persistent fever, unexplained weight loss, or night sweats.
- **Rapid Growth:** If the lymph node starts to grow rapidly or becomes hard and fixed in place.

In most cases, a mobile, non-tender lymph node without other symptoms is benign. However, ongoing evaluation by your pediatrician is key to ensuring there are no underlying issues that need to be addressed.

#asktheexpert My baby is two n a half years old. He has left supraclavicular lymphnode approx 1.5cm in size , mobile oval in shape...no fever or sign of inflammation...feeding normal . CBC normal can it be post BCG vaccination? if not, what should be done next sir?