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  • Title: Tuberculous epididymo-orchitis following intravesical BCG for superficial bladder cancer.
    Author: Bulbul MA, Hijaz A, Beaini M, Araj GF, Tawil A.
    Journal: J Med Liban; 2002; 50(1-2):67-9. PubMed ID: 12841318.
    Abstract:
    A seventy-two-year-old man with transitional cell carcinoma of the bladder received intravesical Bacillus Calmette-Guérin (BCG) following which he developed left testicular pain and swelling that partially resolved with conservative treatment. Six months later a second course of BCG was given for recurrent disease. Ten months later, he developed left testicular swelling and severe induration along with a draining scrotal sinus. Tuberculous orchitis was suspected and a left orchiectomy was performed. Pathology showed caseating granulomatous orchitis and epididymitis with numerous acid fast bacilli on Ziehl-Neelson stain. The patient received a six-month course of antituberculous therapy. This case highlights a rare but serious complication of intravesical BCG.
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