Abstract
A 68-year-old man developed fever, cough, and dyspnea after intravesical bacillus Calmette-Guerin (BCG). Chest radiograph revealed diffuse reticulonodular infiltrates with caseating granulomas on transbronchial biopsy specimen. Cultures were negative and the patient's condition improved with corticosteroids. The mechanism for BCG-induced granulomatous inflammation is poorly understood. Optimal therapy includes corticosteroids.
MeSH terms
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Administration, Intravesical
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Adrenal Cortex Hormones / therapeutic use
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Aged
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BCG Vaccine / administration & dosage
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BCG Vaccine / adverse effects*
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Carcinoma, Transitional Cell / complications
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Carcinoma, Transitional Cell / therapy
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Granuloma / chemically induced*
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Granuloma / diagnosis
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Granuloma / drug therapy
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Humans
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Male
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Pneumonia / chemically induced*
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Pneumonia / diagnosis
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Pneumonia / drug therapy
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Urinary Bladder Neoplasms / complications
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Urinary Bladder Neoplasms / therapy
Substances
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Adrenal Cortex Hormones
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BCG Vaccine