Mycotic infrarenal aortic aneurysm due to mycobacterium after intravesical treatment for bladder cancer.

Journal of Vascular Surgery Cases and Innovative Techniques
Steve Thanh D PhamScott S Berman

Abstract

Intravesical instillation of Bacillus Calmette-Guerin, a live-attenuated strain of Mycobacterium bovis, is a common adjuvant therapy for bladder cancer with a low incidence of serious adverse events. The case described herein illustrates a rare complication of intravesical Bacillus Calmette-Guerin instillation that resulted from invasion of the mycobacterium into tissue outside of the bladder lining, also known as microbial dissemination, leading to infection of the aortic wall and development of a mycotic aneurysm, and highlights the therapeutic challenges presented by the aortic pathology in this clinical scenario.

References

Aug 20, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M DuboisI Fourneau
Nov 5, 2011·Journal of Vascular Surgery·Chung-Dann KanYu-Jen Yang
Mar 1, 2014·International Journal of Mycobacteriology·Brittany J HolmesMichael T Melia
Mar 21, 2017·Case Reports in Urology·Nathaniel D CoddingtonSeth A Strope
Apr 18, 2018·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sagar RohaillaFahad Razak
Feb 26, 2019·Annals of Vascular Surgery·Raffaella BerchiolliMauro Ferrari

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