Isolated renal tuberculosis following intravesical Bacillus Calmette-Guérin therapy for bladder cancer.
We present a case of isolated renal tuberculosis following bacillus Calmette-Guérin (BCG) therapy for bladder cancer. In the presurgical radiographic examination, we suspected an atypical renal cell carcinoma. According to the diagnosis of renal cell carcinoma, we performed a radical nephrectomy. The histological findings were tuberculosis-specific inflammatory changes and the patient received an antituberculous multiple drug therapy for a year. It is concluded that we should pay attention to the possibility of a renal tuberculosis granuloma in any patient who presented with subacute formed renal masses following BCG treatment before deciding on the strategy of the treatment of the renal masses, especially in patients who had received such a treatment which induced an immunocompromised state.
Wada
Yoshihiro
Y
Department of Urology, Kumamoto University School of Medicine, Kumamoto, Japan. yoshiwada@kaiju.medic.kumamoto-u.ac.jp
Sugiyama
Yutaka
Y
Kikukawa
Hiroaki
H
Kuwahara
Tomohiro
T
Takahashi
Wataru
W
Takamiya
Tomi
T
Ueda
Shoichi
S
D000276:Adjuvants, Immunologic / Q000008:administration & dosage / Q000009:adverse effects*; D000283:Administration, Intravesical; D000368:Aged; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014398:Tuberculosis, Renal / Q000139:chemically induced*; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy
D000276:Adjuvants, Immunologic; D001500:BCG Vaccine