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  • Title: Tuberculosis complications after BCG treatment for urinary bladder cancer.
    Author: Naudžiūnas A, Juškaitė R, Žiaugrytė I, Unikauskas A, Varanauskienė E, Mašanauskienė E.
    Journal: Medicina (Kaunas); 2012; 48(11):563-5. PubMed ID: 23455890.
    Abstract:
    Bacillus Calmette-Guérin (BCG) is an attenuated strain of Mycobacterium bovis that has been effectively used in the treatment of non-muscle invasive bladder carcinoma. The complications of this treatment are uncommon, and the causes of dissemination are still discussed. We report a case of disseminated tuberculosis in a 66-year-old smoking man without a history of pulmonary diseases, who underwent immunotherapy with BCG after the initial surgical treatment of bladder cancer. After the last BCG instillation, he developed a fever. The diagnosis of sepsis was not confirmed, and miliary pulmonary tuberculosis was suspected. The diagnosis was confirmed by clinical manifestation, computed tomography of the lungs, and histological examination.
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