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4/2010 vol. 23
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CASE REPORT
BCG pneumonitis with a miliary radiological pattern complicating intravesical BCG immunotherapy
 Evangelia Fouka 1
,
 
 Nikolaos Angelis 2
,
 
 Penelope Stefanopoulou 1
,
 
Nikolaos Galanis 3
 
 
 
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1
Pneumonologist, 1st Pulmonary Clinic, General Regional Hospital “G. Papanikolaou”. Thessaloniki
 
2
Trainee Pneumonologist, 1st Pulmonary Clinic, General Regional Hospital “G. Papanikolaou”. Thessaloniki
 
3
Pneumonologist, Coordinating Director, 1st Pulmonary Clinic, General Regional Hospital “G. Papanikolaou”. Thessaloniki
 
 
Corresponding author
 Evangelia Fouka   

General Regional Hospital “G. Papanikolaou”, Exochi 57010, Thessaloniki,
 
 
Pneumon 2010;23(4):388-391
 
Article (PDF)
References (16)
 
KEYWORDS
BCG immunonotherapy
BCG pneumonitis
miliary radiological pattern
 bladder cancer
 
ABSTRACT
The case is described of a 42 year-old male who presented with fever, haematuria, hypoxaemia, impaired liver function and a miliary pattern on chest X-ray while receiving intravesical BCG treatment for superficial bladder cancer. Initiation of antituberculous therapy resulted in rapid amelioration of the symptoms and the X-ray findings, and the patient left hospital in a good general state of health. Although M. bovis was not isolated from samples of sputum, bronchioalveolar lavage fluid (BALF) or bronchial biopsy tissue, the prompt response to antituberculous therapy suggests an infectious aetiology due to microbial dissemination. 
 
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