COMPLICATIONS OF INTRAVESICAL BACILLUS CALMETTE-GUERIN - A CASE-REPORT

被引:12
作者
GONZALEZ, JA
MARCOL, BR
WOLF, MC
机构
[1] Department of Urology, William Beaumont Hospital, Royal Oak, MI
关键词
BLADDER NEOPLASMS; BCG VACCINE; ADMINISTRATION; INTRAVESICAL; IMMUNOTHERAPY;
D O I
10.1016/S0022-5347(17)37062-3
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
Bacillus Calmette-Guerin (BCG) is the most effective agent currently available to treat superficial bladder cancer. However, this form of therapy is not without potential serious or fatal complications. In addition to the potentially toxic systemic side effects attributed to hematogenous absorption of the bacillus, direct upper tract seeding may occur in patients with vesicoureteral reflux. We report on a patient treated with intravesical BCG for bladder cancer in whom unilateral necrotizing granulomatous pyelonephritis developed. Although severe, this complication is rare and we conclude that reflux is not a contraindication for intravesical BCG therapy.
引用
收藏
页码:1892 / 1893
页数:2
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