Okamoto Kohei, Hamano Tatsuya, Kawaguchi Takuya
The Department of Urology, Chichibu City Hospital.
Hinyokika Kiyo. 2010 Feb;56(2):111-3.
A 54-year-old man who had received intravesical instillation of bacillus Calmette-Guerin(BCG) after transurethral resection for bladder cancer suffered from multiple arthritis, bilateral conjunctivitis, miction pain and high fever. Under the diagnosis of Reiter's syndrome, a nonsteroidal anti-inflammatory drug, histamine antagonists, anti-tubercular agent and corticosteroid were administered. The symptoms were improved within one month. It is important in early diagnosis and treatment of Reiter's syndrome to observe carefully the complications following intravesical instillation of BCG.
一名54岁男性在经尿道膀胱肿瘤切除术后接受卡介苗(BCG)膀胱内灌注,出现多关节炎、双侧结膜炎、排尿疼痛和高热。在诊断为赖特综合征后,给予非甾体抗炎药、组胺拮抗剂、抗结核药和皮质类固醇治疗。症状在1个月内得到改善。仔细观察卡介苗膀胱内灌注后的并发症对于赖特综合征的早期诊断和治疗很重要。