[Reiter syndrome: atypical complication of treatment with BCG].
OBJECTIVE
To report a case of Reiter's syndrome, an uncommon complication after intravesical BCG therapy. The etiology, clinical features, diagnostic difficulties and treatment of this condition are discussed.


RESULTS
A 56-year-old patient with superficial bladder carcinoma developed conjunctivitis, urethritis and arthritis of the right knee and wrist after the fourth BCG instillation. Other pathologies were ruled out by the clinical and laboratory findings (synovial fluid, cultures, HLA B-27, RF, ANA). A progressive clinical improvement was observed when BCG instillation was discontinued and treatment with indomethacin was started.


CONCLUSIONS
Reiter's syndrome is an infrequent complication that is not related with the BCG strain utilized. Early diagnosis of this condition improves response to therapy.
Resel Folkersma
L E
LE
Servicio de Urología, Hospital Ntra. Sra. del Pino, Las Palmas de Gran Canaria, España. Luisre@idecnet.com
Belón López Tomaseti
J A
JA
Ramírez Rodríguez
P
P
Rapariz González
M A
MA
Isorna Martínez de la Riva
S
S
D000276:Adjuvants, Immunologic / Q000009:adverse effects*; D016918:Arthritis, Reactive / Q000209:etiology*; D001500:BCG Vaccine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged
D000276:Adjuvants, Immunologic; D001500:BCG Vaccine