A Case Report of Extensive Limb Swelling in Newborn After Vaccination: Unusual Thigh Swelling After Hepatitis B vaccination

J. Han, Deog-gon Kim, Jin-yong Lee
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引用次数: 2

Abstract

Objectives The purpose of this study is to report the clinical effects of oriental medical treatment on Extensive limb swelling which is rare adverse reaction of vaccination. Methods A 11 months old infant who appealed unilateral thigh swelling after immunization and signs of local inflammation was administered a complex herbal medicine consisting of five decoctions; Gwakhyangjunggisan, Binsosan, Danggwisusan, Samchulgunbitang and Gwibitang. The length of the constant regions of the thigh circumference was measured every visit. Each process was recorded by photograph. After one year from the first visit, phone call was conducted to follow-up. Results The length of the thigh after administration of herbal medicine did not change much, but the part where swelled hard became little bit softer. A year later, patient`s growth and walking was normal but the swollen part not changed. Since then the similar adverse effects did not recur on booster doses vaccines. Conclusions The adverse reactions of vaccination are rarely reported and there is no specific treatment for swelling from Hepatitis B vaccine. It will be more helpful to study if more cases reported about any adverse drug reactions or any side effects from the immunization.
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新生儿接种乙肝疫苗后肢体广泛肿胀1例:接种乙肝疫苗后大腿异常肿胀
目的报道中医药治疗广泛肢体肿胀的临床效果,这是一种罕见的疫苗不良反应。方法对1例11月龄婴儿免疫后出现单侧大腿肿胀并有局部炎症征象的患者给予复方中药五煎;果香中溪山、宾松山、当归山、三赤君溪塘、归溪塘。每次访问都测量大腿周长恒定区域的长度。每个过程都用照片记录下来。在第一次访问一年后,进行电话随访。结果中药给药后大腿长度变化不大,但肿胀较硬的部位有所软化。一年后,患者的生长和行走正常,但肿胀部分没有改变。从那时起,类似的不良反应在加强剂量疫苗上没有再发生。结论乙肝疫苗接种不良反应报道较少,对乙肝疫苗引起的肿胀无特异性治疗方法。如果有更多的病例报告免疫接种的药物不良反应或副作用,将对研究更有帮助。
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