Urology Annals (Jan 2023)

Renal BCGosis managed conservatively with antituberculous medications

  • Amr Elmekresh,
  • Yazan Al Shaikh,
  • Rafe Alhayek,
  • Yaser Saeedi

DOI
https://doi.org/10.4103/ua.ua_117_22
Journal volume & issue
Vol. 15, no. 2
pp. 232 – 234

Abstract

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Intravesical Bacillus Calmette–Guérin (BCG) therapy for nonmuscle-invasive bladder cancer rarely leads to the development of granulomatous renal masses (renal BCGosis). The management includes nephroureterectomy, antitubercular therapy (ATT), or both. Here, we present a case of a 62-year-old male who was treated with ATT alone for renal masses. Six months after intravesical BCG therapy for transitional cell carcinoma, he developed high-grade fever and night sweat and had multiple renal parenchymal hypodensities on computed tomography (CT) scan. Repeat CT scan 6 months after ATT revealed full resolution of renal hypodensities. This case report highlights the importance of follow-up for early detection of adverse effects of BCG treatment.

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