Hemophagocytic syndrome in A patient of upper urinary tract urothelial cancer after Bacillus Calmette-Gu<acute accent>erin instillation: A case report
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作者:
Li, Ting -Lien
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China Med Univ Hosp, Dept Urol, Taichung 404332, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Li, Ting -Lien
[1
]
Huang, Chi-Ping
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China Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
China Med Univ, Coll Med, Sch Med, Taichung, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Huang, Chi-Ping
[1
,2
]
Lin, Chia-Yu
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China Med Univ Hosp, Dept Gen Med, Taichung 404332, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Lin, Chia-Yu
[3
]
Ho, Mao -Wang
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China Med Univ Hosp, Dept Infect, Taichung 404332, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Ho, Mao -Wang
[4
]
Cho, Chia-Hui
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China Med Univ Hosp, Dept Infect, Taichung 404332, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Cho, Chia-Hui
[4
]
Chen, Wen-Chi
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China Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
China Med Univ, Grad Inst Integrated Med, Coll Chinese Med, Taichung 404332, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Chen, Wen-Chi
[1
,5
]
Chen, Yung-Hsiang
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China Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
China Med Univ, Grad Inst Integrated Med, Coll Chinese Med, Taichung 404332, Taiwan
Asia Univ, Coll Med & Hlth Sci, Dept Psychol, Taichung 413305, TaiwanChina Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
Chen, Yung-Hsiang
[1
,5
,6
]
机构:
[1] China Med Univ Hosp, Dept Urol, Taichung 404332, Taiwan
[2] China Med Univ, Coll Med, Sch Med, Taichung, Taiwan
[3] China Med Univ Hosp, Dept Gen Med, Taichung 404332, Taiwan
[4] China Med Univ Hosp, Dept Infect, Taichung 404332, Taiwan
[5] China Med Univ, Grad Inst Integrated Med, Coll Chinese Med, Taichung 404332, Taiwan
[6] Asia Univ, Coll Med & Hlth Sci, Dept Psychol, Taichung 413305, Taiwan
Bacillus Calmette-Gue<acute accent>rin (BCG) therapy is an adjuvant treatment for urothelial carcinomas of the upper urinary tract (UTUC). BCG therapy can result in various side effects. We present a case of a 67-year-old female with a history of UTUC who developed disseminated tuberculosis following BCG instillation into the upper urinary tract after conservative management. This complex clinical scenario required a multidisciplinary approach, including antibiotic therapy, immunoglobulin infusion, and tailored tuberculosis treatment. The case underscores the importance of vigilance, early detection, and tailored interventions in managing disseminated tuberculosis arising from BCG therapy and rare complications like hemophagocytic syndrome.
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Section of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
Section of Chemotherapy, Division of Oncology, Department of Clinical Care, Hospital Ophir Loyola, 992 Magalhães Barata Avenue, São Braz, Belém, Pará
400 Senador Lemos Avenue, Campina, Belém, ParáSection of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
Sampaio P.C.M.
Lira Y.G.
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Section of Clinical Oncology, Division of Oncology, Department of Clinical Care, Universidade Do Estado Do Pará, 2623 Perebebuí Street, Marco, Belém, ParáSection of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
Lira Y.G.
Ribeiro H.Y.U.
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Section of Clinical Oncology, Division of Oncology, Department of Clinical Care, Universidade Do Estado Do Pará, 2623 Perebebuí Street, Marco, Belém, Pará
Section of Oncology, Division of Clinical Care, Department of Evidence-Based Medicine, Universidade Do Estado Do Pará, 2623 Perebebuí Street, Marco, Belém, ParáSection of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
Ribeiro H.Y.U.
De Paula Moreira F.
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Section of Clinical Oncology, Division of Oncology, Department of Clinical Care, Universidade Do Estado Do Pará, 2623 Perebebuí Street, Marco, Belém, ParáSection of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
De Paula Moreira F.
Gadelha M.S.M.
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Section of Clinical Oncology, Division of Oncology, Department of Clinical Care, Universidade Do Estado Do Pará, 2623 Perebebuí Street, Marco, Belém, ParáSection of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
Gadelha M.S.M.
Da Cruz S.F.S.
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Section of Clinical Oncology, Division of Oncology, Department of Clinical Care, Centro Universitário Do Pará, 3775 Almirante Barroso Avenue, Souza, Belém, ParáSection of Oncological Treatment Research, Division of Oncology, Department of Clinical Care, Centro de Tratamento Oncológico, 4402 Mundurucus Street, Guamá, Belém, Pará
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Garibaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, ItalyGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Scalia, Gianluca
Ferini, Gianluca
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Ist Oncol Mediterraneo, Dept Radiat Oncol, I-95029 Viagrande, ItalyGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Ferini, Gianluca
Marrone, Salvatore
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Univ Palermo, Sch Med, Post Grad Residency Program Neurol Surg, Dept Biomed Neurosci & Adv Diagnost, I-90127 Palermo, ItalyGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Marrone, Salvatore
Salvati, Maurizio
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Univ Roma Tor Vergata, Policlin Tor Vergata, Dept Neurosurg, I-00133 Rome, ItalyGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Salvati, Maurizio
Yamamoto, Vicky
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Univ Southern Calif, Norris Comprehens Canc Ctr, Los Angeles, CA 90033 USAGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Yamamoto, Vicky
Kateb, Babak
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Brain Mapping Fdn, Los Angeles, CA 90272 USAGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Kateb, Babak
Schulte, Reinhard
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Loma Linda Univ, Sch Med, Loma Linda, CA 11085 USAGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Schulte, Reinhard
Forte, Stefano
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Ist Oncol Mediterraneo, Genom & Expt Oncol Unit, I-95029 Viagrande, Catania, ItalyGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
Forte, Stefano
Umana, Giuseppe Emmanuele
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Cannizzaro Hosp, Gamma Knife & Trauma Ctr, Dept Neurosurg, I-95126 Catania, ItalyGaribaldi Hosp, Neurosurg Unit, Dept Head & Neck Surg, I-95123 Catania, Italy
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Kodama, Ken
Higashiyama, Masahiko
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Higashiyama, Masahiko
Takami, Koji
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Takami, Koji
Oda, Kazuyuki
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Oda, Kazuyuki
Okami, Jiro
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Okami, Jiro
Maeda, Jun
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Maeda, Jun
Akazawa, Takashi
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Osaka Med Ctr Canc & Cardiovasc Dis, Dept Immunol, Higashinari Ku, Osaka 5378511, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Akazawa, Takashi
Matsumoto, Misako
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Hokkaido Univ, Grad Sch Med, Dept Microbiol & Immunol, Sapporo, Hokkaido, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Matsumoto, Misako
Seya, Tsukasa
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Hokkaido Univ, Grad Sch Med, Dept Microbiol & Immunol, Sapporo, Hokkaido, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Seya, Tsukasa
Wada, Mariko
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Mino Hlth Ctr, Mino, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan
Wada, Mariko
Toyoshima, Kumao
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RIKEN, Yokohama Inst, SNP Res Ctr, Yokohama, Kanagawa, JapanOsaka Med Ctr Canc & Cardiovasc Dis, Dept Thorac Surg, Higashinari Ku, Osaka 5378511, Japan