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  • Title: A case of granulomatous hepatitis after intravesical bacillus Calmette-Guerin administration.
    Author: Graziano DA, Jacobs D, Lozano RG, Buck RL.
    Journal: J Urol; 1991 Oct; 146(4):1118-9. PubMed ID: 1895437.
    Abstract:
    A 61-year-old man received intravesical bacillus Calmette-Guerin (BCG) as treatment for superficial bladder carcinoma. High spiking relapsing fevers began 39 days after the initial treatment. A liver biopsy revealed noncaseating granuloma. Deoxyribonucleic acid hybridization of the bone marrow was positive for Mycobacterium tuberculosis complex. Pressure exerted to instill the BCG may have favored dissemination.
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