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.
Fradet
Vincent
V
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.
Gaudreau
Christiane
C
Perrotte
Paul
P
Côté
Jean
J
Paquin
Jean-Marie
JM