Witjes J A, Vriesema J L J, Brinkman K, Bootsma G, Barentsz J O
Department of Urology, University Medical Centre St. Radboud, Nijmegen, The Netherlands.
Urol Int. 2003;71(4):430-2. doi: 10.1159/000074100.
A 67-year-old man was treated with maintenance intravesical BCG for superficial bladder cancer. As a culture-proven complication of this therapy, he developed general malaise, high fever, granulomatous hepatitis and a mycotic aneurysm in his left knee. All complications were treated successfully with antituberculous therapy. No vascular surgery was necessary. This case report again stresses the necessity to recognise complications of BCG treatment and to start adequate therapy as soon as possible.
一名67岁男性因浅表性膀胱癌接受膀胱内卡介苗维持治疗。作为经培养证实的该治疗并发症,他出现全身不适、高热、肉芽肿性肝炎以及左膝部霉菌性动脉瘤。所有并发症均通过抗结核治疗成功治愈。无需进行血管手术。本病例报告再次强调了认识卡介苗治疗并发症并尽快开始适当治疗的必要性。