[Scrotal abscess with inguinal lymph node swelling in an 86-year-old man].
METHODS
An 86-year-old patient presented to our clinic with increasing redness and swelling of the right scrotum and inguinal lymphadenopathy. Five and a half years before admission carcinoma of the bladder (pT1,G2) had been diagnosed and was treated with several transurethral endoscopic resections as well as repeated instillations of Bacille Calmette-Guérin (BCG) into the bladder.


METHODS
Orchiectomy on the right side was performed. Histological analysis revealed a granulomatous inflammation consistent with a mycobacteriosis. Mycobacterium bovis BCG could be isolated from several sputum and urine specimens of the patient.


METHODS
Tuberculostatic therapy was started soon after surgery. After seven weeks of treatment no more mycobacteria could be detected in sputum and urine control specimens. At a follow up after twelve months there was no evidence of recurrent disease.


CONCLUSIONS
We describe the late manifestation of a BCG infection including the lungs and the urogenital tract. This is a rare complication with potentially serious consequences and requires rapid diagnosis and urgent treatment by a multidisciplinary team.
Gemmel
C
C
Medizinische Klinik C, Gastroenterologie, Hepatologie, Diabetologie und Infektiologie, Ludwigshafen.
Jacek
G
G
Lücking
H C
HC
Rebel
M
M
Spiethoff
A
A
Schilling
D
D
Riemann
J F
JF
D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D001437:Bacteriuria / Q000382:microbiology; D006119:Groin; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008206:Lymphatic Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D008297:Male; D009163:Mycobacterium bovis / Q000302:isolation & purification*; D009919:Orchiectomy; D013183:Sputum / Q000382:microbiology; D013733:Testicular Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D013737:Testis / Q000382:microbiology / Q000473:pathology; D014389:Tuberculosis, Male Genital / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000628:therapy
D000995:Antitubercular Agents; D001500:BCG Vaccine
Skrotalabszess mit inguinaler Lymphknotenschwellung bei einem 86-jährigen Patienten.