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Vol. 61. Issue 4.
Pages 337-340 (July - August 2019)
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Vol. 61. Issue 4.
Pages 337-340 (July - August 2019)
Brief report
Miliary tuberculosis induced by intravesical instillation of bacillus Calmette-Guérin
Tuberculosis miliar inducida por instilación endovesical de bacilo de Calmette-Guérin
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145
S. Osorio Aira
Corresponding author
soniaosorio004@gmail.com

Corresponding author.
, L. Casadiego Matarranz, N. Andrés García, M.R. López Pedreira
Servicio de Radiodiagnóstico, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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Abstract

The intravesical instillation of bacillus Calmette-Guérin (BCG) is an efficacious complementary treatment for superficial bladder cancer after transurethral resection. This treatment delays progression, decreases the probability that the patient will have to undergo cystectomy in the future, and improves survival; it is generally efficacious and well tolerated.

Among the most common local complications are irritative symptoms, hematuria, local genitourinary infection. Systemic complications are much less common.

We present the case of a 71-year-old man who developed miliary tuberculosis secondary to treatment with intravesical bacillus Calmette-Guérin for bladder cancer. This is exceptionally uncommon complication is potentially lethal and requires the immediate discontinuation of treatment.

Keywords:
Miliary tuberculosis
Computed tomography
Bacillus Calmette-Guérin
Vesical tumour
Resumen

La instilación endovesical de bacilo de Calmette-Guérin (BCG) es un tratamiento complementario eficaz para el cáncer de vejiga superficial, una vez realizada la resección transuretral. Se ha comprobado que este tratamiento retrasa la progresión tumoral, disminuye la probabilidad de que el paciente tenga que someterse a una cistectomía futura y mejora la supervivencia. En general se trata de un tratamiento eficaz y bien tolerado.

Entre las complicaciones locales más frecuentes están el síndrome miccional irritativo, la hematuria y casos de infección genitourinaria local. Las complicaciones sistémicas son mucho menos frecuentes.

Presentamos el caso de un varón de 71 años, en tratamiento con bacilo de Calmette-Guérin intravesical por cáncer de vejiga, que presenta de forma adversa una tuberculosis miliar secundaria al tratamiento. Se trata de una complicación excepcional por su frecuencia, potencialmente letal y que requiere la interrupción inmediata del tratamiento.

Palabras clave:
Tuberculosis miliar
TC
Bacilo de Calmette-Guérin
Tumor vesical

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