[Urothelial carcinoma--fever and weight loss after intravesical instillation of BCG].
We report the case of a patient, who suffered from an acute BCG-pneumonitis after the fourth treatment of his bladder cancer with intravesical instillation of BCG. The chest-x-ray presented a bilateral reticulonodular infiltration. Mycobacterium tuberculosis could not be detected by culture, biopsy or PCR assay. Under treatment with Rifampicine, Isoniazid and Ethambutol the patient recovered within a short time and the follow up chest-x-ray became normal. A supplementary steroid therapy was not needed.
Piso
R J
RJ
Medizinische Klinik, Kantonsspital Olten.
Toniolo
M
M
D000283:Administration, Intravesical; D000368:Aged; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D002278:Carcinoma in Situ / Q000188:drug therapy* / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000188:drug therapy* / Q000601:surgery; D003131:Combined Modality Therapy; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D008297:Male; D009163:Mycobacterium bovis; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy* / Q000601:surgery; D011859:Radiography; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging*; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy* / Q000601:surgery; D015431:Weight Loss
D001500:BCG Vaccine