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  • Title: Granulomatous pneumonitis following intravesical BCG. What therapy is needed?
    Author: LeMense GP, Strange C.
    Journal: Chest; 1994 Nov; 106(5):1624-6. PubMed ID: 7956439.
    Abstract:
    A 68-year-old man developed fever, cough, and dyspnea after intravesical bacillus Calmette-Guerin (BCG). Chest radiograph revealed diffuse reticulonodular infiltrates with caseating granulomas on transbronchial biopsy specimen. Cultures were negative and the patient's condition improved with corticosteroids. The mechanism for BCG-induced granulomatous inflammation is poorly understood. Optimal therapy includes corticosteroids.
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