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  • Title: Mycotic aneurysm of the aorta as a complication of Bacillus Calmette-Guérin instillation.
    Author: Maundrell J, Fletcher S, Roberts P, Stein A, Lambie M.
    Journal: J R Coll Physicians Edinb; 2011 Jun; 41(2):114-6. PubMed ID: 21677913.
    Abstract:
    Bacillus Calmette-Guérin (BCG) is a live attenuated strain of Mycobacterium bovis that has been widely used for the treatment of superficial transitional cell carcinoma of the bladder. We describe a rare case of supra-renal mycotic aortic aneurysm secondary to BCG instillation in a 75-year-old male. Patients presenting with systemic symptoms post-instillation, possibly with an aneurysm, should raise suspicion of BCG dissemination, which requires early instigation of anti-mycobacterial drugs.
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