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Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review

Mycobacterium bovis infection after intravesical Bacillus Calmette-Guérin (BCG) therapy is rare. A 65-year-old Japanese man with history of bladder cancer and intravesical BCG therapy, presented with low-grade fever. An aneurysm with perianeurysmal fluid was suspected and endovascular aortic repair...

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Autores principales: Higashi, Yoshitsugu, Nakamura, Shigeki, Kidani, Kento, Matumoto, Kaoru, Kawago, Koyomi, Isobe, Junko, Kanatani, Junichi, Kawagishi, Yukio, Sakamaki, Ippei, Yamamoto, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827329/
https://www.ncbi.nlm.nih.gov/pubmed/29093394
http://dx.doi.org/10.2169/internalmedicine.9102-17
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author Higashi, Yoshitsugu
Nakamura, Shigeki
Kidani, Kento
Matumoto, Kaoru
Kawago, Koyomi
Isobe, Junko
Kanatani, Junichi
Kawagishi, Yukio
Sakamaki, Ippei
Yamamoto, Yoshihiro
author_facet Higashi, Yoshitsugu
Nakamura, Shigeki
Kidani, Kento
Matumoto, Kaoru
Kawago, Koyomi
Isobe, Junko
Kanatani, Junichi
Kawagishi, Yukio
Sakamaki, Ippei
Yamamoto, Yoshihiro
author_sort Higashi, Yoshitsugu
collection PubMed
description Mycobacterium bovis infection after intravesical Bacillus Calmette-Guérin (BCG) therapy is rare. A 65-year-old Japanese man with history of bladder cancer and intravesical BCG therapy, presented with low-grade fever. An aneurysm with perianeurysmal fluid was suspected and endovascular aortic repair was performed. After 160 days, he developed blood-streaked sputum and computed tomography images revealed that the perianeurysmal fluid area was increasing in size. A multiplex polymerase chain reaction using sputum identified M. bovis. Treatment with anti-tuberculosis drugs reduced the size of the perianeurysmal fluid area. After intravesical BCG therapy, the possibility of M. bovis infection should be considered, thus further investigations are required.
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spelling pubmed-58273292018-02-28 Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review Higashi, Yoshitsugu Nakamura, Shigeki Kidani, Kento Matumoto, Kaoru Kawago, Koyomi Isobe, Junko Kanatani, Junichi Kawagishi, Yukio Sakamaki, Ippei Yamamoto, Yoshihiro Intern Med Case Report Mycobacterium bovis infection after intravesical Bacillus Calmette-Guérin (BCG) therapy is rare. A 65-year-old Japanese man with history of bladder cancer and intravesical BCG therapy, presented with low-grade fever. An aneurysm with perianeurysmal fluid was suspected and endovascular aortic repair was performed. After 160 days, he developed blood-streaked sputum and computed tomography images revealed that the perianeurysmal fluid area was increasing in size. A multiplex polymerase chain reaction using sputum identified M. bovis. Treatment with anti-tuberculosis drugs reduced the size of the perianeurysmal fluid area. After intravesical BCG therapy, the possibility of M. bovis infection should be considered, thus further investigations are required. The Japanese Society of Internal Medicine 2017-11-01 2018-02-01 /pmc/articles/PMC5827329/ /pubmed/29093394 http://dx.doi.org/10.2169/internalmedicine.9102-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Higashi, Yoshitsugu
Nakamura, Shigeki
Kidani, Kento
Matumoto, Kaoru
Kawago, Koyomi
Isobe, Junko
Kanatani, Junichi
Kawagishi, Yukio
Sakamaki, Ippei
Yamamoto, Yoshihiro
Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review
title Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review
title_full Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review
title_fullStr Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review
title_full_unstemmed Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review
title_short Mycobacterium bovis-induced Aneurysm after Intravesical Bacillus Calmette-Guérin Therapy: A Case Study and Literature Review
title_sort mycobacterium bovis-induced aneurysm after intravesical bacillus calmette-guérin therapy: a case study and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827329/
https://www.ncbi.nlm.nih.gov/pubmed/29093394
http://dx.doi.org/10.2169/internalmedicine.9102-17
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