| Autor: |
M, Desmet, K, Moubax, M, Haerens |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Acta clinica Belgica. 67(5) |
| ISSN: |
1784-3286 |
| Popis: |
Intravesical instillations of Bacillus-Calmette Guérin are widely used in the treatment of superficial bladder carcinoma. Although relatively safe, it has potentially lethal systemic side effects. In this case report a 68 year old patient presented with septic shock and multiple organ failure three days after instillation with Bacillus Calmette-Guérin. After treatment with fluid, vasopressors, broad spectrum antibiotics and antimycobacterial drugs the patient's condition improved. Ten days after admission there was a dramatic increase in bilirubin levels. A liver biopsy revealed granulomatous hepatitis. After the initiation of methylprednisolone the overall condition of the patient improved and serum bilirubin levels returned to normal. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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