Reinert K U, Sybrecht G W
Department of Pneumology, University of Saarland, Homburg, Germany.
J Urol. 1994 Jun;151(6):1634-7. doi: 10.1016/s0022-5347(17)35324-7.
We report a case of T helper cell alveolitis after intravesical bacillus Calmette-Guerin (BCG) immunotherapy for a superficial bladder tumor. Despite the clinical appearance of miliary pulmonary tuberculosis no mycobacterial agent was found. Therefore, we concluded that the patient had a hypersensitivity reaction similar to sarcoidosis. The condition improved after immunosuppressive therapy with glucocorticosteroids. Differentiation of bronchoalveolar cells could be useful in distinguishing hypersensitivity to infection with BCG.
