Muscular pseudotumor revealing a mycobacterial granuloma after bacillus Calmette-Guérin therapy

Autor:	E. Tailbaut, M. Monge, F. Compain, A. Pacheco, P. Charles, C. Richaud
Rok vydání:	2022
Předmět:	Male Aged 80 and over Administration Intravesical Granuloma Urinary Bladder Neoplasms Gastroenterology Internal Medicine BCG Vaccine Humans Mycobacterium bovis
Zdroj:	La Revue de medecine interne. 43(12)
ISSN:	1768-3122
Popis:	The Bacillus Calmette-Guérin (BCG) is a live attenuated strain of Mycobacterium bovis. Intravesical therapy with BCG has long been proved to be effective in treating early-stage bladder carcinoma.A 81-year-old male patient with former history of BCG instillations for bladder cancer two years ago was admitted in February 2020 to our department for a pulsatile and painful tumefaction of the right thigh that lasted for 6 months, due to a muscular M. bovis granuloma leading to femoral artery erosion. Emergency vascular surgery associated with prolonged antibiotherapy provided full recovery.Late infectious complications of intravesical BCG instillations are classical but rare. Isolated muscular involvement is exceptional.Mycobacterial infection should be carefully screened face to a granuloma presenting as muscular pseudotumor. A history of BCG therapy, even decades earlier, enhances this hypothesis and should lead to enforce microbiological testing, especially molecular test.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75da309dc97339b7325522bfbb1e79b0 https://pubmed.ncbi.nlm.nih.gov/36184335 Zobrazit plný text záznamu Full Text from ScienceDirect