[Tuberculosis miliar in a patient treated with intravesical instillations of bacillus Calmette-Guérin]. / Tuberculosis miliar en paciente tratado con instilaciones intravesicales de bacilo de Calmette-Guérin.
Med Intensiva
; 30(3): 116-9, 2006 Apr.
Article
em Es
| MEDLINE
| ID: mdl-16729480
ABSTRACT
Tuberculosis miliar is a very rare complication of bacillus Calmette-Guérin (BCG) immunotherapy that is associated to high mortality. Thus, early diagnosis and treatment is essential. At present, there is a polymerase chain reaction technique (PCR) which is a rapid diagnostic method with elevated sensitivity. Treatment with tuberculostatic agents should be initiated as soon as possible, the combination of corticosteroids and cycloserine in serious cases being advisable. A case of a 75 year old patient with intravesical BCG instillations after a transurethral resection of bladder cancer is presented. He was admitted to the Intensive Care Unit (ICU) due to severe acute respiratory failure evolving to acute respiratory distress syndrome (ARDS). Mycobacterium bovis DNA was identified by PCR in blood samples and bronchoaspirate (BAS). He was treated with tuberculostatic agents and corticosteroids, dying due to respiratory failure.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tuberculose Miliar
/
Vacina BCG
/
Adjuvantes Imunológicos
/
Insuficiência de Múltiplos Órgãos
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
Es
Revista:
Med Intensiva
Ano de publicação:
2006
Tipo de documento:
Article