Hemophagocytic syndrome in A patient of upper urinary tract urothelial cancer after Bacillus Calmette-Gu<acute accent>erin instillation: A case report

被引:0
|
作者
Li, Ting -Lien [1 ]
Huang, Chi-Ping [1 ,2 ]
Lin, Chia-Yu [3 ]
Ho, Mao -Wang [4 ]
Cho, Chia-Hui [4 ]
Chen, Wen-Chi [1 ,5 ]
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
来源
UROLOGY CASE REPORTS | 2024年 / 54卷
关键词
Hemophagocytic syndrome; Bacillus calmette-Gue <acute accent>rin; Urothelial cell carcinoma; Case report; GUERIN;
D O I
10.1016/j.eucr.2024.102730
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
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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页数:4
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