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  • Title: [Case of tuberculous epididymitis caused by intravesical BCG therapy].
    Author: Koizumi T, Nakanishi R, Taue R, Yamaguchi K, Nakatuji H, Kishimoto T, Izaki H, Oka N, Takahashi M, Fukumori T, Kanayama HO.
    Journal: Hinyokika Kiyo; 2008 Sep; 54(9):625-7. PubMed ID: 18975579.
    Abstract:
    Intravesical Bacillus Calmette-Guerin (BCG) therapy is commonly used against superficial urothelial carcinoma, especially carcinoma in situ (CIS). We report a case of tuberculous epididymitis that occurred during a course of intravesical BCG therapy. A 76-year-old man had received intravesical BCG therapy for multiple superficial bladder cancer and CIS in prostatic urethra after transurethral resection of bladder tumor (TUR-Bt). He recognized hard nodules in the left scrotum after 4 times intravesical BCG therapy. Skin fistula in scrotum occurred 5 months later. We performed left orchiectomy with scrotum skin resection. Histological diagnosis was tuberculous epididymitis. Postoperatively, he was administered chemotherapy consisting of isoniazid, refampin and ethambutol.
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