DISSEMINATED INFECTION AFTER INTRAVESICAL BCG IMMUNOTHERAPY - DETECTION OF ORGANISMS IN PULMONARY TISSUE

被引：26

作者：

PALAYEW, M

BRIEDIS, D

LIBMAN, M

MICHEL, RP

LEVY, RD

机构：

[1] MCGILL UNIV,ROYAL VICTORIA HOSP,DIV RESP MED,687 PINE AVE W,RM 1409,MONTREAL H3A 1A1,QUEBEC,CANADA

[2] MCGILL UNIV,ROYAL VICTORIA HOSP,DEPT PATHOL,MONTREAL H3A 1A1,QUEBEC,CANADA

[3] MCGILL UNIV,ROYAL VICTORIA HOSP,DEPT MED,DIV INFECT DIS,MONTREAL H3A 1A1,QUEBEC,CANADA

来源：

CHEST | 1993年 / 104卷 / 01期

关键词：

D O I：

10.1378/chest.104.1.307

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 57-year-old man undergoing intravesical immunotherapy with BCG for transitional cell bladder carcinoma presented with dyspnea, fever, hypoxemia, and a diffuse micronodular pattern on chest radiograph. Transbronchial biopsy specimen revealed widespread noncaseating granulomas, and acid-fast bacilli were identified in sputum as well as in the biopsy tissue. The patient's condition responded promptly to antituberculous antibiotics given in conjunction with corticosteroids. Although no growth was evident on TB culture of the specimens, the presence of organisms indicates a probable infectious cause of the pulmonary disease process.

引用

页码：307 / 309

页数：3

共 20 条

[1]

AU FC, 1978, CANCER, V41, P2209, DOI 10.1002/1097-0142(197806)41:6<2209::AID-CNCR2820410621>3.0.CO

[2]

2-P

[3] THE USE OF BACILLUS CALMETTE-GUERIN IN THE THERAPY OF BLADDER-CARCINOMA INSITU [J].