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FATAL DISSEMINATED MYCOBACTERIAL INFECTION FOLLOWING INTRAVESICAL BACILLUS CALMETTE-GUERIN

被引：77
作者：
DERESIEWICZ, RL
STONE, RM
ASTER, JC
机构：
[1] BRIGHAM & WOMENS HOSP,DEPT MED,BOSTON,MA 02115
[2] BRIGHAM & WOMENS HOSP,DEPT PATHOL,BOSTON,MA 02115
来源：
JOURNAL OF UROLOGY | 1990年 / 144卷 / 06期
关键词：
D O I：
10.1016/S0022-5347(17)39732-X
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
We describe a fatal case of disseminated mycobacteriosis after intravesical bacillus Galmette-Guerin immunotherapy. We summarize the prior safety record of this therapeutic modality, discuss local and systemic pathophysiological mechanisms by which dissemination might have occurred, and review the reported clinical experience with antituberculous chemotherapy for significant bacillus Calmette-Guerin infection. Finally, we offer suggestions for prophylaxis of certain patients with a history of exposure to intravesical bacillus Calmette-Guerin.
引用
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页码：1331 / 1334
页数：4
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