Case Reports in Oncological Medicine (Jan 2018)

Disseminated Granulomatous Disease from Intravesical Instillation of Bacillus Calmette-Guerin

  • Sayed Ab. Reshad Ghafouri,
  • Alexander Brun,
  • Rohit Bhalla,
  • Craig Margulies,
  • Kevin Skole

DOI
https://doi.org/10.1155/2018/8280527
Journal volume & issue
Vol. 2018

Abstract

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Intravesical instillation of Bacillus Calmette-Guerin is one of the standard treatment options for superficial bladder cancer. While Bacillus Calmette-Guerin therapy is usually well tolerated with most patients experiencing only cystitis, in rare cases, it can lead to disseminated granulomatous disease. We present a case of a 72-year-old man with disseminated granulomatous disease from intravesical BCG instillation whose treatment was complicated by antimycobacterial drug toxicity.