Korean J Urol.  2009 Feb;50(2):186-187.

Tuberculous Prostatic Abscess Following Intravesical Bacillus Calmette-Guerin Instillation

• Kim SH
• Kim HW
• Lee HJ
• Bae WJ
• Cho SY

Abstract

Tuberculous granulomatous infection of the urinary tract is a rare complication of intravesical Bacille Calmette-Guerin (BCG) immunotherapy, which is commonly used for superficial urothelial cell carcinoma of the bladder. We present a case of tuberculous prostatic abscess in a patient who had undergone intravesical BCG immunotherapy for bladder carcinoma in situ.

Keyword

Bacille Calmette-Guerin; Bladder cancer; Abscess

MeSH Terms

Abscess
Bacillus
Carcinoma in Situ
Humans
Immunotherapy
Mycobacterium bovis
Urinary Bladder
Urinary Bladder Neoplasms
Urinary Tract

Figure

• 

  Fig. 1 Ultrasonogram shows a small focal anechoic lesion at right transitional zone.

• 

  Fig. 2 Acid-fast bacillus (arrow) with Ziehl-Neelsen staining (×1,000).

Reference

1. Morales A, Eidinger D, Bruce AW. Intracavitary Bacillus Calmette-Guérin in the treatment of superficial bladder tumors. J Urol. 1976. 116:180–183.

2. Huang TC. Management of complications of bacillus Calmette-Guérin immuno-therapy in the treatment of bladder cancer. Ann Pharmacother. 2000. 34:529–532.

3. Lamm DL, Stogdill VD, Stogdill BJ, Crispen RG. Complications of bacillus Calmette-Guerin immunotherapy in 1,278 patients with bladder cancer. J Urol. 1986. 135:272–274.

4. Kim DY, Lee JK, Park YS, Kim TH, Lim YS, Shim HB. A case of granulomatous prostatitis after intravesical BCG instillation. Korean J Urol. 2000. 41:901–903.

5. Matlaga BR, Veys JA, Thacker CC, Assimos DG. Prostate abscess following intravesical bacillus Calmette-Guérin treatment. J Urol. 2002. 167:251.

6. Aust TR, Massey JA. Tubercular prostatic abscess as a complication of intravesical bacillus Calmette-Guérin immunotherapy. Int J Urol. 2005. 12:920–921.