title: [Case of tuberculous epididymitis caused by intravesical BCG therapy].
abstract: Intravesical Bacillus Calmette-Guerin (BCG) therapy is commonly used against superficial urothelial carcinoma, especially carcinoma in situ (CIS). We report a case of tuberculous epididymitis that occurred during a course of intravesical BCG therapy. A 76-year-old man had received intravesical BCG therapy for multiple superficial bladder cancer and CIS in prostatic urethra after transurethral resection of bladder tumor (TUR-Bt). He recognized hard nodules in the left scrotum after 4 times intravesical BCG therapy. Skin fistula in scrotum occurred 5 months later. We performed left orchiectomy with scrotum skin resection. Histological diagnosis was tuberculous epididymitis. Postoperatively, he was administered chemotherapy consisting of isoniazid, refampin and ethambutol.
authors.affiliation: Department of Urology, The University of Tokushima Graduate School Institute of Health Bioscience.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Koizumi
authors.forename: Ryouiti
authors.initials: R
authors.lastname: Nakanishi
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Taue
authors.forename: Kunihisa
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Nakatuji
authors.forename: Tomoteru
authors.initials: T
authors.lastname: Kishimoto
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Izaki
authors.forename: Natsuo
authors.initials: N
authors.lastname: Oka
authors.forename: Masayuki
authors.initials: M
authors.lastname: Takahashi
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Fukumori
authors.forename: Hiro-omi
authors.initials: HO
authors.lastname: Kanayama
mesh_terms: D000283:Administration, Intravesical; D000368:Aged; D000995:Antitubercular Agents / Q000008:administration & dosage; D001500:BCG Vaccine / Q000008:administration & dosage* / Q000009:adverse effects*; D002278:Carcinoma in Situ / Q000628:therapy; D015653:Cystectomy; D004822:Epididymis; D006801:Humans; D008297:Male; D009919:Orchiectomy; D014389:Tuberculosis, Male Genital / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000628:therapy
chemical_list: D000995:Antitubercular Agents; D001500:BCG Vaccine