Robinson Alexander R L, Radhakrishnan Rajeswari, Horvath Robert, Pandey Sushil
School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Department of Internal Medicine, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Intern Med J. 2017 Jul;47(7):820-823. doi: 10.1111/imj.13475.
Disseminated Mycobacterium bovis is an uncommon side-effect of intravesical Bacillus Calmette-Guérin (BCG) therapy that may be mediated through Mycobacteraemia. This case report, of a 77-year-old man with a history of intravesical BCG therapy and recent cardiac surgery, highlights the need for patients with similar features on history, presenting with generalised symptoms, to have mycobacterial cultures included in their workup.
播散性牛分枝杆菌是膀胱内灌注卡介苗（BCG）治疗罕见的副作用，可能通过菌血症介导。本病例报告的是一名77岁男性，有膀胱内卡介苗治疗史及近期心脏手术史，强调对于有类似病史且出现全身症状的患者，在检查中需进行分枝杆菌培养。
