卡介苗膀胱灌注治疗膀胱癌后阴囊皮肤结核性肉芽肿：一例报告
Tuberculous Granuloma in the Scrotal Skin After Intravesical Bacillus Calmette-Guerin Therapy for Bladder Cancer: A Case Report.
作者信息
Shimura Hiroshi, Ihara Tatsuya, Mitsui Takahiko, Takeda Masayuki
机构信息
Department of Urology, University of Yamanashi Graduate School of Medical Science, Chuo city, Yamanashi, Japan.
出版信息
Urol Case Rep. 2017 Jan 5;11:4-6. doi: 10.1016/j.eucr.2016.11.001. eCollection 2017 Feb.
Rare cases of tuberculous urinary tract or genital infection caused by intravesical Intravesical Bacillus Calmette-Guerin (BCG) instillation therapy have been reported. We encountered a patient with tuberculous granuloma in the scrotal skin after intravesical BCG therapy for bladder cancer. There was evidence of infection in the scrotal skin, but not in the epididymis. To the best of our knowledge, this is the first report of tuberculous granuloma in the scrotal skin without epididymitis after intravesical BCG therapy. In our case, lower urinary tract symptoms such as the terminal dribbling of urine appear to support the theory of direct BCG inoculation.
膀胱内灌注卡介苗（BCG）治疗引起的结核性泌尿道或生殖器感染的罕见病例已有报道。我们遇到一名膀胱癌患者在膀胱内BCG治疗后阴囊皮肤出现结核性肉芽肿。阴囊皮肤有感染迹象，但附睾未发现感染。据我们所知，这是膀胱内BCG治疗后阴囊皮肤出现结核性肉芽肿而无附睾炎的首例报告。在我们的病例中，诸如尿末滴沥等下尿路症状似乎支持BCG直接接种的理论。
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