Psoas abscess following intravesical bacillus Calmette-Guerin for bladder cancer: a case report

J Urol. 1993 Jul;150(1):188-9. doi: 10.1016/s0022-5347(17)35432-0.

Abstract

An 87-year-old man with an abdominal aortic aneurysm received intravesical bacillus Calmette-Guerin therapy for transitional cell carcinoma of the bladder. He presented 9 months later with a psoas abscess that mimicked a contained retroperitoneal abdominal aortic aneurysm rupture. The abscess cultures yielded Mycobacterium bovis. Recent transurethral resection and high voiding pressures after instillations of bacillus Calmette-Guerin may have led to distant dissemination of the drug.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravesical
  • Aged
  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Rupture / diagnosis
  • BCG Vaccine / administration & dosage
  • BCG Vaccine / adverse effects*
  • Carcinoma, Transitional Cell / therapy
  • Diagnosis, Differential
  • Humans
  • Male
  • Mycobacterium bovis / isolation & purification
  • Psoas Abscess / diagnosis
  • Psoas Abscess / etiology*
  • Psoas Abscess / microbiology
  • Tuberculosis / diagnosis
  • Tuberculosis / etiology
  • Urinary Bladder Neoplasms / therapy*

Substances

  • BCG Vaccine