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Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature

INTRODUCTION: Bacillus Calmette-Guerin (BCG) is a live attenuated strain of Mycobacterium bovis that has been used to treat urothelial carcinoma since 1976, and has been reported to eradicate disease in more than 70% of patients with in situ and stage I disease. To the best of our knowledge, we repo...

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Autores principales: Álvarez-Múgica, Miguel, Gómez, Jesús M Fernández, Vázquez, Verónica Bulnes, Monzón, Antonio Jalón, Rodríguez, José M Fernández, Robles, Laura Rodríguez
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767134/
https://www.ncbi.nlm.nih.gov/pubmed/19918272
http://dx.doi.org/10.4076/1752-1947-3-7323
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author Álvarez-Múgica, Miguel
Gómez, Jesús M Fernández
Vázquez, Verónica Bulnes
Monzón, Antonio Jalón
Rodríguez, José M Fernández
Robles, Laura Rodríguez
author_facet Álvarez-Múgica, Miguel
Gómez, Jesús M Fernández
Vázquez, Verónica Bulnes
Monzón, Antonio Jalón
Rodríguez, José M Fernández
Robles, Laura Rodríguez
author_sort Álvarez-Múgica, Miguel
collection PubMed
description INTRODUCTION: Bacillus Calmette-Guerin (BCG) is a live attenuated strain of Mycobacterium bovis that has been used to treat urothelial carcinoma since 1976, and has been reported to eradicate disease in more than 70% of patients with in situ and stage I disease. To the best of our knowledge, we report the first case of disseminated bacillus Calmette-Guerin infection causing multiple abscesses affecting the pancreatic head and right psoas muscle, diagnosed 5 years after intravesical treatment with bacillus Calmette-Guerin therapy for bladder cancer. CASE PRESENTATION: An 83-year-old Caucasian man was hospitalized with a 2-month history of back pain, anorexia, generalized weakness and a 47-pound weight loss. He had previously undergone two transurethral resections for high-grade transitional cell carcinoma of the bladder and had received 12 intravesical bacillus Calmette-Guerin instillations without any complications. He complained of abdominal pain in his right flank. A computed tomography scan of the abdomen showed multiple abscesses affecting the pancreatic head and right psoas muscle. Growth of Mycobacterium bovis was determined in cultures of the purulent material obtained by surgical drainage of the abscesses. CONCLUSIONS: This case illustrates the fact that although intravesical administration of bacillus Calmette-Guerin is generally considered to be safe, it is not exempt from complications and these could appear immediately after treatment or as a delayed complication many years later.
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spelling pubmed-27671342009-11-16 Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature Álvarez-Múgica, Miguel Gómez, Jesús M Fernández Vázquez, Verónica Bulnes Monzón, Antonio Jalón Rodríguez, José M Fernández Robles, Laura Rodríguez J Med Case Reports Research article INTRODUCTION: Bacillus Calmette-Guerin (BCG) is a live attenuated strain of Mycobacterium bovis that has been used to treat urothelial carcinoma since 1976, and has been reported to eradicate disease in more than 70% of patients with in situ and stage I disease. To the best of our knowledge, we report the first case of disseminated bacillus Calmette-Guerin infection causing multiple abscesses affecting the pancreatic head and right psoas muscle, diagnosed 5 years after intravesical treatment with bacillus Calmette-Guerin therapy for bladder cancer. CASE PRESENTATION: An 83-year-old Caucasian man was hospitalized with a 2-month history of back pain, anorexia, generalized weakness and a 47-pound weight loss. He had previously undergone two transurethral resections for high-grade transitional cell carcinoma of the bladder and had received 12 intravesical bacillus Calmette-Guerin instillations without any complications. He complained of abdominal pain in his right flank. A computed tomography scan of the abdomen showed multiple abscesses affecting the pancreatic head and right psoas muscle. Growth of Mycobacterium bovis was determined in cultures of the purulent material obtained by surgical drainage of the abscesses. CONCLUSIONS: This case illustrates the fact that although intravesical administration of bacillus Calmette-Guerin is generally considered to be safe, it is not exempt from complications and these could appear immediately after treatment or as a delayed complication many years later. BioMed Central 2009-09-15 /pmc/articles/PMC2767134/ /pubmed/19918272 http://dx.doi.org/10.4076/1752-1947-3-7323 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Álvarez-Múgica, Miguel
Gómez, Jesús M Fernández
Vázquez, Verónica Bulnes
Monzón, Antonio Jalón
Rodríguez, José M Fernández
Robles, Laura Rodríguez
Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
title Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
title_full Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
title_fullStr Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
title_full_unstemmed Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
title_short Pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus Calmette-Guerin for bladder cancer: a case report and review of the literature
title_sort pancreatic and psoas abscesses as a late complication of intravesical administration of bacillus calmette-guerin for bladder cancer: a case report and review of the literature
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767134/
https://www.ncbi.nlm.nih.gov/pubmed/19918272
http://dx.doi.org/10.4076/1752-1947-3-7323
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