Management of hepatic granulomatous tuberculosis complicating intravesical BCG for superficial bladder cancer.
Intravesical bacille Calmette-Guérin (BCG) therapy is the most effective treatment for high-risk superficial bladder cancer. Severe systemic complications are rare, but may occur in approximately 1% of cases. We report a severe complication of intravesical BCG: a disseminated Mycobacterium bovis infection with biopsy-proven granulomatous hepatitis in a patient with bladder cancer. We also elaborate on the different management alternatives.
Departement of Surgery (urology), the Department of Microbiology and the Department of Pathology, Centre Hospitalier de l'Université de Montréal-Hôpital St-Luc, Montréal, Que.
Vincent
V
Fradet
Christiane
C
Gaudreau
Paul
P
Perrotte
Jean
J
Côté
Jean-Marie
JM
Paquin