{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:39:07Z","timestamp":1786977547739,"version":"build-2736575974"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,12]],"date-time":"2020-09-12T00:00:00Z","timestamp":1599868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diagnostic Cytopathology"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bacille Calmette\u2010Guerin (BCG) adenitis is a common complication of post\u2010BCG vaccination. Awareness of this lesser known entity in fine\u2010needle aspiration (FNA) is important to prevent misdiagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study described the clinical presentation, cytomorphological features and disease pattern in patients with BCG adenitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>We analyzed a series of 15 patients with BCG adenitis seen from July 2017 to July 2019. The detailed clinical and cytomorphology of these cases were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Age of presentation ranged from 3 to 12 months. Male to female ratio was 2.75:1. A total of four children were diagnosed with primary immunodeficiency. Three children had acyanotic heart disease. Most of the children had left axillary lymph node enlargement. Cytomorphology showed the presence of polymorphs (66.7%), histiocytic aggregates (80%) and reactive lymphoid population (60%). Epithelioid granulomas (26.7%) and giant cells (6.7%) were present. The necrotic background was present in all but one case. Ziehl\u2010Neelsen stain for acid\u2010fast bacilli was positive in all but two cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A high index of clinical suspicion for BCG lymphadenitis should be kept in mind for patients who are recently vaccinated. FNA cytology, combined with clinical correlation, is useful for diagnosis and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dc.24613","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T04:48:30Z","timestamp":1601182110000},"page":"226-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Fine\u2010needle aspiration cytology of Bacille\n                    <scp>Calmette\u2010Guerin<\/scp>\n                    adenitis: A perplexing distinct clinical entity"],"prefix":"10.1002","volume":"49","author":[{"given":"Aleena","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Cytology and Gynecologic Pathology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Cytology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2159-4325","authenticated-orcid":false,"given":"Parikshaa","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Cytology and Gynecologic Pathology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Rohilla","sequence":"additional","affiliation":[{"name":"Department of Cytology and Gynecologic Pathology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-1955","authenticated-orcid":false,"given":"Nalini","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Cytology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1771-091X","authenticated-orcid":false,"given":"Radhika","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Department of Cytology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Rajwanshi","sequence":"additional","affiliation":[{"name":"Department of Cytology and Gynecologic Pathology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9297-5400","authenticated-orcid":false,"given":"Pranab","family":"Dey","sequence":"additional","affiliation":[{"name":"Department of Cytology and Gynecologic Pathology Post Graduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,12]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"17440","DOI":"10.18535\/jmscr\/v5i2.38","article-title":"Suppurative BCG lymphadenitis in an infant","volume":"5","author":"Sonawane D","year":"2017","journal-title":"Journal of Medical Science and Clinical Research"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpam.2015.05.003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4103\/0974-2727.154782","article-title":"Role of needle aspiration in diagnosis and management of suppurative Bacille Calmette\u2010Guerin adenitis: an institutional study of 30 cases","volume":"7","author":"Pal S","year":"2015","journal-title":"J Lab Physicians"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"66","article-title":"BCG adenitis\u2014need for increased awareness","volume":"18","author":"Govindarajan KK","year":"2011","journal-title":"Malays J Med Sci"},{"issue":"9","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"1677","DOI":"10.3201\/2109.150289","article-title":"Increase in lymphadenitis cases after shift in BCG vaccine strain","volume":"21","author":"Kuchukhidze G","year":"2015","journal-title":"Emerg Infect Dis"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.920.327"},{"issue":"2","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4103\/0377-4929.97869","article-title":"Bacillus Calmette\u2010Guerin lymphadenitis: a 6\u2010year experience in two Saudi hospitals","volume":"55","author":"Bukhari E","year":"2012","journal-title":"Indian J Pathol Microbiol"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.14260\/jemds\/2014\/2304"},{"key":"e_1_2_8_10_1","first-page":"176","volume-title":"Park's Text Book of Preventive and Social Medicine","author":"Park K","year":"2015"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.71.5.446"},{"key":"e_1_2_8_12_1","first-page":"85","article-title":"Management of Bacillus Calmette\u2010Gu\u00e9rin lymphadenitis","volume":"16","author":"Chan WM","year":"2011","journal-title":"HK J Paediatr (New Series)"}],"container-title":["Diagnostic Cytopathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dc.24613","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/dc.24613","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dc.24613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T12:19:09Z","timestamp":1693743549000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dc.24613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,12]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1002\/dc.24613"],"URL":"https:\/\/doi.org\/10.1002\/dc.24613","archive":["Portico"],"relation":{},"ISSN":["8755-1039","1097-0339"],"issn-type":[{"value":"8755-1039","type":"print"},{"value":"1097-0339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,12]]},"assertion":[{"value":"2020-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}