Miliary lung disease after intravesical bacillus Calmette-Guerin immunotherapy

被引:26
作者
Jasmer, RM
McCowin, MJ
Webb, WR
机构
[1] UNIV CALIF SAN FRANCISCO,MED CTR,DEPT RADIOL,SAN FRANCISCO,CA 94143
[2] UNIV CALIF SAN FRANCISCO,MED CTR,DEPT MED,DIV PULM & CRIT CARE MED,SAN FRANCISCO,CA 94143
关键词
bacillus Calmette-Guerin (BCG); lung; CT; diseases; hypersensitivity;
D O I
10.1148/radiology.201.1.8816518
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Clinical and radiologic findings in a 73-year-old man who developed a systemic illness while receiving intravesical bacillus Calmette-Guerin (BCG) immunotherapy for bladder cancer are presented. Thin-section chest computed tomographic findings included a diffuse pattern of small nodules consistent with miliary disease. Potential mechanisms explaining the pulmonary disease resulting from intravesical BCG treatment include a hypersensitivity reaction or actual BCG infection of the lungs.
引用
收藏
页码:43 / 44
页数:2
相关论文
共 10 条
[1]  
ISRAELBIET D, 1987, AM REV RESPIR DIS, V135, P763
[2]   PULMONARY-DISEASE FOLLOWING INTRAVESICAL BCG TREATMENT [J].
KESTEN, S ;
TITLE, L ;
MULLEN, B ;
GROSSMAN, R .
THORAX, 1990, 45 (09) :709-710
[3]   MOLECULAR CONFIRMATION OF BACILLUS-CALMETTE-GUERIN AS THE CAUSE OF PULMONARY INFECTION FOLLOWING URINARY-TRACT INSTILLATION [J].
KRISTJANSSON, M ;
GREEN, P ;
MANNING, HL ;
SLUTSKY, AM ;
BRECHER, SM ;
VONREYN, CF ;
ARBEIT, RD ;
MASLOW, JN .
CLINICAL INFECTIOUS DISEASES, 1993, 17 (02) :228-230
[4]   INCIDENCE AND TREATMENT OF COMPLICATIONS OF BACILLUS-CALMETTE-GUERIN INTRAVESICAL THERAPY IN SUPERFICIAL BLADDER-CANCER [J].
LAMM, DL ;
VANDERMEIJDEN, APM ;
MORALES, A ;
BROSMAN, SA ;
CATALONA, WJ ;
HERR, HW ;
SOLOWAY, MS ;
STEG, A ;
DEBRUYNE, FMJ .
JOURNAL OF UROLOGY, 1992, 147 (03) :596-600
[5]   HIGH-RESOLUTION CT FINDINGS IN MILIARY LUNG-DISEASE [J].
MCGUINNESS, G ;
NAIDICH, DP ;
JAGIRDAR, J ;
LEITMAN, B ;
MCCAULEY, DI .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1992, 16 (03) :384-390
[6]   MILIARY MYCOBACTERIUM-BOVIS INDUCED BY INTRAVESICAL BACILLE CALMETTE-GUERIN IMMUNOTHERAPY [J].
MCPARLAND, C ;
COTTON, DJ ;
GOWDA, KS ;
HOEPPNER, VH ;
MARTIN, WT ;
WECKWORTH, PF .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1992, 146 (05) :1330-1333
[7]   HIGH-RESOLUTION COMPUTED-TOMOGRAPHY IN THE DIAGNOSIS OF MILIARY TUBERCULOSIS [J].
OPTICAN, RJ ;
OST, A ;
RAVIN, CE .
CHEST, 1992, 102 (03) :941-943
[8]  
SMITH RL, 1993, CANCER, V71, P1846, DOI 10.1002/1097-0142(19930301)71:5<1846::AID-CNCR2820710521>3.0.CO
[9]  
2-O
[10]  
WEBB WR, 1996, HIGH RESOLUTION CT L, P62