Tuberculous epididymo-orchitis following intravesical BCG for superficial bladder cancer.

Autor: Bulbul MA; Department of Surgery, Division of Urology, American University of Beirut Medical Center, Beirut, Lebanon. mb30@aub.edu.lb, Hijaz A, Beaini M, Araj GF, Tawil A
Jazyk: angličtina
Zdroj: Le Journal medical libanais. The Lebanese medical journal [J Med Liban] 2002 Jan-Apr; Vol. 50 (1-2), pp. 67-9.
Abstrakt: A seventy-two-year-old man with transitional cell carcinoma of the bladder received intravesical Bacillus Calmette-Guérin (BCG) following which he developed left testicular pain and swelling that partially resolved with conservative treatment. Six months later a second course of BCG was given for recurrent disease. Ten months later, he developed left testicular swelling and severe induration along with a draining scrotal sinus. Tuberculous orchitis was suspected and a left orchiectomy was performed. Pathology showed caseating granulomatous orchitis and epididymitis with numerous acid fast bacilli on Ziehl-Neelson stain. The patient received a six-month course of antituberculous therapy. This case highlights a rare but serious complication of intravesical BCG.
Databáze: MEDLINE