Tuberculous Spondylitis Caused by Intravesical Bacillus Calmette-Guerin Therapy

被引：3

作者：

Minakata, Tomokazu ^{[1
]}

Nakano, Yoshio ^{[2
]}

Tamura, Shinobu ^{[3
]}

Kazuki, Yamanishi ^{[2
]}

Hayakawa, Kana ^{[2
]}

Hayakawa, Takahiro ^{[2
]}

Oota, Takayuki ^{[2
]}

Fuzimoto, Tokuzou ^{[2
]}

Yamano, Yukiko ^{[1
]}

Takii, Takemasa ^{[4
]}

机构：

[1] Kinan Hosp, Dept Nephrol, Wakayama, Japan

[2] Kinan Hosp, Dept Internal Med, Wakayama, Japan

[3] Wakayama Med Univ, Dept Internal Med, Div Hematol, Wakayama, Japan

[4] Japan AntiTB Assoc, Dept Mycobacteriol, Res Inst TB, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 05期

关键词：

tuberculous spondylitis; Mycobacterium bovis; bacillus Calmette-Guerin; BOVIS VERTEBRAL OSTEOMYELITIS; BCG THERAPY; COMPLICATION; BLADDER; DISEASE;

D O I：

10.2169/internalmedicine.3288-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old man underwent intravesical bacillus Calmette-Guerin (BCG) therapy for bladder cancer and later presented with lower left back pain. Magnetic resonance imaging of the spine showed high signal intensity, diagnosed as a cystic lesion in the epidural and bilateral intestinal psoas muscle. A computed tomography-guided needle biopsy and histological examination revealed bacteria from the family Mycohacteriaceae, and Mycobacterium bovis was identified using multiplex polymerase chain reaction. If lower back pain appears in a patient who has undergone BCG therapy, it is necessary to test for tuberculous spondylitis. In addition, QuantiFERON is useful for the differential diagnosis of M. bovis BCG infection.

引用

页码：733 / 737

页数：5

共 19 条

[1] Mycobacterium bovis vertebral osteomyelitis as a complication of intravesical BCG use [J].