Nonomura Daichi, Katayama Kinzo, Madono Keigo, Kamoto Akihito, Mori Naoki, Sekii Kenichiro, Yoshioka Toshiaki
Sumitomo Hospital Urology, Japan.
Hinyokika Kiyo. 2013 Apr;59(4):235-7.
A 91-year-old man was treated for upper urinary carcinoma in situ via intravesical bacillus Calmette Guérin (BCG) therapy using a double-J catheter. After the fourth infusion, he experienced fever of >38°C, multiple arthralgia, and back pain. One week after cessation of intravesical BCG immunotherapy and initiation of antibiotic treatment, he continued to complain of symptoms. Reiter's syndrome was diagnosed, and subsequently, an antitubercular agent, a nonsteroidal antiinflammatory drug and a corticosteroid were administered. His symptoms improved 17 days after onset. Reiter syndrome is an uncommon complication after intravesical BCG immunotherapy. Nevertheless, side effects may be severe and must be closely monitored.
一名91岁男性通过使用双J导管的膀胱内卡介苗（BCG）疗法治疗上尿路原位癌。在第四次灌注后，他出现了体温高于38°C、多关节痛和背痛。在停止膀胱内卡介苗免疫治疗并开始抗生素治疗一周后，他仍持续诉说症状。诊断为赖特综合征，随后给予抗结核药、非甾体抗炎药和皮质类固醇。发病17天后他的症状有所改善。赖特综合征是膀胱内卡介苗免疫治疗后一种罕见的并发症。然而，副作用可能很严重，必须密切监测。
