Disseminated infection due to Mycobacterium bovis after intravesical BCG instillation  

作　　者：Sara Marquez-Batalla Esther Fraile-Villarejo Moncef Belhassen-García Nieves Gutierrez-Zubiaurre Miguel Cordero-Sánchez 

机构地区：[1]Servicio de Medicina Interna (CAUSA),IBSAL,Universidad de Salamanca,37007 Salamanca,Spain [2]Servicio de Medicina Interna,Seccion de Enfermedades Infecciosas,Complejo Asistencial Universitario de Salamanca (CAUSA),Instituto de investigacion Biomedica de Salamanca (IBSAL),Universidad de Salamanca,37007 Salamanca,Spain [3]Servicio de Microbiologia,(CAUSA),CIETUS,IBSAL,37007 Salamanca,Spain

出　　处：《World Journal of Clinical Cases》2014年第7期301-303,共3页世界临床病例杂志

摘　　要：Intravesical bacillus Calmette-Guerin(BCG) instillation has been adopted for the treatment of patients with superficial bladder cancer. Severe adverse events due to local instillation of BCG are uncommon, with an overall rate of serious complications of less than 5%. We report the case of an immunocompetent adult patient with multi-system effects, namely pneumonitis, granulomatous hepatitis and meningitis, who responded well to standard treatment for Mycobacterium bovis. This case highlights the importance of a thorough assessment of this type of patient.Intravesical bacillus Calmette-Guerin(BCG) instillation has been adopted for the treatment of patients with superficial bladder cancer. Severe adverse events due to local instillation of BCG are uncommon, with an overall rate of serious complications of less than 5%. We report the case of an immunocompetent adult patient with multi-system effects, namely pneumonitis, granulomatous hepatitis and meningitis, who responded well to standard treatment for Mycobacterium bovis. This case highlights the importance of a thorough assessment of this type of patient.

关 键 词：Tuberculosis MYCOBACTERIUM BOVIS BLADDER cancer Bacillus CALMETTE-GUERIN 

分 类 号：R527.3[医药卫生—内科学]