Hakim S, Heaney J A, Heinz T, Zwolak R W
Section of Urology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756.
J Urol. 1993 Jul;150(1):188-9. doi: 10.1016/s0022-5347(17)35432-0.
An 87-year-old man with an abdominal aortic aneurysm received intravesical bacillus Calmette-Guerin therapy for transitional cell carcinoma of the bladder. He presented 9 months later with a psoas abscess that mimicked a contained retroperitoneal abdominal aortic aneurysm rupture. The abscess cultures yielded Mycobacterium bovis. Recent transurethral resection and high voiding pressures after instillations of bacillus Calmette-Guerin may have led to distant dissemination of the drug.
一名患有腹主动脉瘤的87岁男性因膀胱移行细胞癌接受了膀胱内卡介苗治疗。9个月后，他出现了腰大肌脓肿，酷似局限性腹膜后腹主动脉瘤破裂。脓肿培养物中检出牛分枝杆菌。近期的经尿道切除术以及卡介苗灌注后的高排尿压力可能导致了药物的远处播散。
