Tuberculous Spondylitis Caused by Intravesical Bacillus Calmette-Guerin Therapy

被引：3
|
作者：
Minakata, Tomokazu [1 ]
Nakano, Yoshio [2 ]
Tamura, Shinobu [3 ]
Kazuki, Yamanishi [2 ]
Hayakawa, Kana [2 ]
Hayakawa, Takahiro [2 ]
Oota, Takayuki [2 ]
Fuzimoto, Tokuzou [2 ]
Yamano, Yukiko [1 ]
Takii, Takemasa [4 ]
机构：
[1] Kinan Hosp, Dept Nephrol, Wakayama, Japan
[2] Kinan Hosp, Dept Internal Med, Wakayama, Japan
[3] Wakayama Med Univ, Dept Internal Med, Div Hematol, Wakayama, Japan
[4] Japan AntiTB Assoc, Dept Mycobacteriol, Res Inst TB, Tokyo, Japan
来源：
INTERNAL MEDICINE | 2020年 / 59卷 / 05期
关键词：
tuberculous spondylitis; Mycobacterium bovis; bacillus Calmette-Guerin; BOVIS VERTEBRAL OSTEOMYELITIS; BCG THERAPY; COMPLICATION; BLADDER; DISEASE;
D O I：
10.2169/internalmedicine.3288-19
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 74-year-old man underwent intravesical bacillus Calmette-Guerin (BCG) therapy for bladder cancer and later presented with lower left back pain. Magnetic resonance imaging of the spine showed high signal intensity, diagnosed as a cystic lesion in the epidural and bilateral intestinal psoas muscle. A computed tomography-guided needle biopsy and histological examination revealed bacteria from the family Mycohacteriaceae, and Mycobacterium bovis was identified using multiplex polymerase chain reaction. If lower back pain appears in a patient who has undergone BCG therapy, it is necessary to test for tuberculous spondylitis. In addition, QuantiFERON is useful for the differential diagnosis of M. bovis BCG infection.
引用
收藏
页码：733 / 737
页数：5
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