Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy

A mycotic aneurysm after intravesical instillation of bacillus Calmette-Guérin (BCG) for early-stage bladder cancer is a rare, but life-threatening, complication. In the present report, we have described the case of a patient who had undergone endovascular aneurysm repair for a rapidly growing saccu...

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Autores principales: Nishizawa, Masato, Kudo, Toshifumi, Kijima, Toshiki, Fujii, Yasuhisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729924/
https://www.ncbi.nlm.nih.gov/pubmed/36507086
http://dx.doi.org/10.1016/j.jvscit.2022.10.020
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author Nishizawa, Masato
Kudo, Toshifumi
Kijima, Toshiki
Fujii, Yasuhisa
author_facet Nishizawa, Masato
Kudo, Toshifumi
Kijima, Toshiki
Fujii, Yasuhisa
author_sort Nishizawa, Masato
collection PubMed
description A mycotic aneurysm after intravesical instillation of bacillus Calmette-Guérin (BCG) for early-stage bladder cancer is a rare, but life-threatening, complication. In the present report, we have described the case of a patient who had undergone endovascular aneurysm repair for a rapidly growing saccular abdominal aortic aneurysm after BCG therapy. Three months after endovascular aneurysm repair, the patient had developed an abscess that required open surgery. Cultures from a blood sample and the abscess revealed Mycobacterium bovis BCG. A mycotic aneurysm due to BCG therapy should be suspected in patients with a history of BCG treatment. Such patients should immediately start antitubercular therapy.
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spelling pubmed-97299242022-12-09 Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy Nishizawa, Masato Kudo, Toshifumi Kijima, Toshiki Fujii, Yasuhisa J Vasc Surg Cases Innov Tech Case report A mycotic aneurysm after intravesical instillation of bacillus Calmette-Guérin (BCG) for early-stage bladder cancer is a rare, but life-threatening, complication. In the present report, we have described the case of a patient who had undergone endovascular aneurysm repair for a rapidly growing saccular abdominal aortic aneurysm after BCG therapy. Three months after endovascular aneurysm repair, the patient had developed an abscess that required open surgery. Cultures from a blood sample and the abscess revealed Mycobacterium bovis BCG. A mycotic aneurysm due to BCG therapy should be suspected in patients with a history of BCG treatment. Such patients should immediately start antitubercular therapy. Elsevier 2022-11-08 /pmc/articles/PMC9729924/ /pubmed/36507086 http://dx.doi.org/10.1016/j.jvscit.2022.10.020 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Nishizawa, Masato
Kudo, Toshifumi
Kijima, Toshiki
Fujii, Yasuhisa
Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy
title Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy
title_full Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy
title_fullStr Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy
title_full_unstemmed Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy
title_short Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy
title_sort failed endovascular abdominal aortic aneurysm repair due to mycobacterium bovis infection following intravesical bacillus calmette-guérin therapy
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729924/
https://www.ncbi.nlm.nih.gov/pubmed/36507086
http://dx.doi.org/10.1016/j.jvscit.2022.10.020
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