[Tuberculosis induced by Bacillus Calmette-Guerin immuno-prophylaxis -- case study].
We describe a case of miliary tuberculosis induced by Bacillus Calmette-Guerin (BCG) as a complication of an infection after BCG-instillation therapy into the bladder because of bladder carcinoma. Bacilli surely entered blood circulation via an urethral lesion because of a difficult catheterisation. The 60 year old patient was administered to the hospital with septic temperature 4 four days after BCG instillation. CT showed a miliary patten and the diagnosis was confirmed by bronchoscopy: transbronchial biopsy showed granulomatous infiltration and an acid-fast rod-bacterium was detected in bronchial slime. Symptoms vanished after a consequent antituberculous triple therapy regime and the patient left hospital in a good general state of health.
Frickmann
H
H
Medizinische Klinik, St. Elisabethen Krankenhaus, Katharina Kasper Kliniken, Frankfurt/Main.
Jungblut
S
S
Hanke
P
P
Bargon
J
J
D000995:Antitubercular Agents / Q000627:therapeutic use; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007239:Infections / Q000209:etiology; D007322:Instillation, Drug; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000209:etiology*; D001749:Urinary Bladder Neoplasms / Q000150:complications
D000995:Antitubercular Agents; D001500:BCG Vaccine