Tuberculous aneurysm of the femoral artery: a complication of bacille Calmette-Guérin vaccine immunotherapy--a case report.
A case of bilateral femoral mycotic aneurysms resulting from bacille Calmette-Guérin vaccine, is reported in a 74-year-old man treated by intravesical immunotherapy. The diagnosis was made after histologic and bacteriologic examinations and biochemical analysis of the acid-fast-baccilli. Treatment consisted of resection and replacement of the femoral arteries, with an expanded polytetrafluoroethylene graft on the left side and a saphenous vein graft on the right side. After surgery the patient was treated with antituberculous chemotherapy for 1 year. The patient was doing well 18 months later.
Bornet
P
P
Department of Surgery, Hôpital Tenon, Paris, France.
Pujade
B
B
Lacaine
F
F
Bazelly
B
B
Paquet
J C
JC
Roland
J
J
Huguier
M
M
D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000209:etiology*; D001500:BCG Vaccine / Q000009:adverse effects*; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007167:Immunotherapy; D008297:Male; D011859:Radiography; D014381:Tuberculosis, Cardiovascular / Q000000981:diagnostic imaging / Q000209:etiology*
D001500:BCG Vaccine