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Research Article

Granulomatous hepatitis after intravesical bacillus Calmette–Guérin treatment

, , , &
Pages 55-57 | Received 05 Aug 2010, Accepted 09 Aug 2010, Published online: 21 Sep 2010
 

Abstract

A 79-y-old man presented with systemic inflammatory response syndrome (SIRS) and jaundice, 6 h after the first intravesical instillation of bacillus Calmette–Guérin (BCG) for bladder cancer; he had a subsequent reaction 4 weeks later. Liver biopsy findings were compatible with BCG hepatitis. Anti-mycobacterial treatment induced complete recovery. The first episode probably represents a hypersensitivity reaction, whereas the latter course suggests BCG dissemination.

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Erratum

Declaration of interest: No conflict of interest.

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