Renal Complications of Intravesical Bacillus Calmette-Guérin Therapy

Autor: J.-M. Suc, A. Modesto, L. Marty, D. Kleinknecht, J.-F. De Fremont, T. Marsepoil, P. Veyssier
Rok vydání: 1991
Předmět:
Zdroj: American Journal of Nephrology. 11:501-504
ISSN: 1421-9670
0250-8095
Popis: We report 3 patients who developed signs of systemic infection and renal insufficiency after intravesical bacillus Calmette-Guérin (BCG) instillations for a bladder cancer. Renal biopsy showed tubulo-interstitial nephritis with or without epithelioid granulomas in 2 cases, and mesangial glomerulonephritis in the last case. All patients had granulomatous hepatitis in association. It seems that hematogenous dissemination via a traumatic instillation of BCG and/or an immune-complex mechanism may have contributed to the renal damage, which was only partially reversible in 2 patients.
Databáze: OpenAIRE