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DOI: 10.1055/s-0036-1587973
Ultrasound examination of musculoskeletal adverse side effects after vaccination in babies
Purpose: The aim of this study was to evaluate the usefulness of ultrasound in follow-up of adverse side effects in musculoskeletal system after vaccination in babies.
Material and methods: Patients were babies aged 0 – 12 months, who were referred for ultrasound screening for DDH. Inclusion criteria for US examination of both lower legs in a prospective trial, were babies with suspect of nodules or diffuse enlargement of muscles where the shot was given. The examination was carried out with a 7.5 MHz real-time linear probe using the apparatus SONOLINE Versa Ultrasound Imaging System, SIEMENS AG, Erlangen, BRD. X-ray and blood tests were performed in three babies with suspect of cellulites of thigh and osteomyelitis of femur. Clinical and ultrasound examination were performed by orthopaedic surgeons experienced in musculoskeletal ultrasound.
Results: Redness, swelling, soreness and tenderness where the shots were given, were seen in most of the patients. Decreased range of leg movements were associated in 3 patients with cellulites of thigh muscles and in one patient with osteomyelitis of femur. US examination showed nodules of different sizes and ehogenicity or diffuse soft tissue enlargements in gluteal or anterolateral thigh region. Periosteal reaction of femur was also detected with US. US examination was used in follow-up of those patients on regular time interval or according to clinical signs.
Conclusion: Ultrasound is useful and safe method in diagnosis and follow-up of musculoskeletal adverse side effects of vaccination in babies.