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卡介苗膀胱内灌注后粟粒性肺部感染:一种罕见、误诊且治疗不当的并发症。

Miliary pulmonary infection after BCG intravesical instillation: a rare, misdiagnosed and mistreated complication.

作者信息

Calleris Giorgio, Marra Giancarlo, Corcione Silvia, Oderda Marco, Cardellino Chiara, Audagnotto Sabrina, Frea Bruno, De Rosa Francesco Giuseppe, Gontero Paolo

机构信息

University of Turin, AOU "Città della Salute e della Scienza di Torino", Department of Surgical Sciences, Urology, Turin, Italy.

University of Turin, AO "Amedeo di Savoia", Department of Medical Sciences, Infectious Diseases, Turin, Italy.

出版信息

Infez Med. 2017 Dec 1;25(4):366-370.

Abstract

Intravesical Bacillus Calmette-Guérin (BCG) immunotherapy decreases the progression risk of non-muscle-invasive bladder cancer, but potentially yields a broad spectrum of side effects. We report the case of a 73-year-old man affected by miliary pulmonary BCG infection, whose microbiological diagnosis was probably hindered by empiric fluoroquinolones, focusing on imaging and clinical work-up.

摘要

膀胱内卡介苗(BCG)免疫疗法可降低非肌层浸润性膀胱癌的进展风险,但可能会产生广泛的副作用。我们报告了一例73岁男性粟粒性肺卡介苗感染病例,其微生物学诊断可能因经验性使用氟喹诺酮类药物而受到阻碍,本文重点关注影像学和临床检查。

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