COMPLICATIONS AFTER INTRAVESICAL INSTILLATION OF BACILLUS CALMETTE-GUERIN - RHABDOMYOLYSIS AND METASTATIC INFECTION

被引:22
|
作者
ARMSTRONG, RW
机构
[1] Community Hospital, Los Gatos, CA
来源
JOURNAL OF UROLOGY | 1991年 / 145卷 / 06期
关键词
BCG VACCINE; RHABDOMYOLYSIS; ANURIA;
D O I
10.1016/S0022-5347(17)38596-8
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Two cases of adverse reaction to bacillus Calmette-Guerin (BCG) bladder instillations are reported. In both cases transient fevers and systemic symptoms developed following the instillations. After an additional instillation 1 patient had high fevers, severe myalgias and profound weakness followed by rhabdomyolysis and anuric renal failure, which required 3 weeks of hemodialysis before recovery. Extensive evaluation revealed no cause other than the BCG instillations. In the other patient a firm subcutaneous nodule gradually developed on the chest wall, which contained nonviable acid fast bacilli.
引用
收藏
页码:1264 / 1266
页数:3
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