Marques Afonso Ana Teresa, Rodríguez Framil Montserrat, Sánchez Leira Joaquín, Vázquez Agra Néstor, García-Rodeja Arias Federico
Internal Medicine Department, University Hospital of Santiago de Compostela, A Coruña, Spain.
Cardiology Department, University Hospital of Santiago de Compostela, A Coruña, Spain.
Eur J Case Rep Intern Med. 2020 Jun 3;7(9):001697. doi: 10.12890/2020_001697. eCollection 2020.
Bacille Calmette-Guérin (BCG) administration for superficial bladder cancer is a well-tolerated and very effective therapy. However, unpredictable systemic complications may occur on rare occasions. We present the case of a patient who attended for consultation because of fever, asthenia and weight loss following BCG immunotherapy. The clinical response to treatment and computed tomography scanning were key to diagnosis.
It is essential to keep a high index of suspicion of possible, although uncommon, complications in patients treated with BCG immunotherapy.Response to treatment should always be evaluated to confirm diagnostic suspicion.
卡介苗(BCG)用于浅表性膀胱癌的治疗耐受性良好且非常有效。然而,罕见情况下可能会出现不可预测的全身并发症。我们报告一例患者,其在卡介苗免疫治疗后因发热、乏力和体重减轻前来咨询。对治疗的临床反应和计算机断层扫描是诊断的关键。
对于接受卡介苗免疫治疗的患者,必须高度怀疑可能出现的(尽管不常见)并发症。应始终评估治疗反应以确认诊断怀疑。