Psoas abscess following intravesical bacillus Calmette-Guerin for bladder cancer: a case report.
An 87-year-old man with an abdominal aortic aneurysm received intravesical bacillus Calmette-Guerin therapy for transitional cell carcinoma of the bladder. He presented 9 months later with a psoas abscess that mimicked a contained retroperitoneal abdominal aortic aneurysm rupture. The abscess cultures yielded Mycobacterium bovis. Recent transurethral resection and high voiding pressures after instillations of bacillus Calmette-Guerin may have led to distant dissemination of the drug.
Section of Urology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756.
S
S
Hakim
J A
JA
Heaney
T
T
Heinz
R W
RW
Zwolak
D000283:Administration, Intravesical; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications; D001019:Aortic Rupture / Q000175:diagnosis; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D002295:Carcinoma, Transitional Cell / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009163:Mycobacterium bovis / Q000302:isolation & purification; D016659:Psoas Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D014376:Tuberculosis / Q000175:diagnosis / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000628:therapy*
D001500:BCG Vaccine