Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy
Introduction Intravesical Bacillus Calmette‐Guérin immunotherapy is generally a safe treatment for non‐muscle‐invasive bladder cancer but sometimes causes complications. Case presentation The patient was an 80‐year‐old man who had undergone Bacillus Calmette‐Guérin immunotherapy for non‐muscle‐invas...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12814 |
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| author | Tatsuhiro Sawada Ayaka Igarashi Seiji Arai Akira Ohtsu Yuji Fujizuka Shun Nakazawa Yoshitaka Sekine Hidekazu Koike Yosuke Furuya Kazuhiro Suzuki |
| author_facet | Tatsuhiro Sawada Ayaka Igarashi Seiji Arai Akira Ohtsu Yuji Fujizuka Shun Nakazawa Yoshitaka Sekine Hidekazu Koike Yosuke Furuya Kazuhiro Suzuki |
| author_sort | Tatsuhiro Sawada |
| collection | DOAJ |
| description | Introduction Intravesical Bacillus Calmette‐Guérin immunotherapy is generally a safe treatment for non‐muscle‐invasive bladder cancer but sometimes causes complications. Case presentation The patient was an 80‐year‐old man who had undergone Bacillus Calmette‐Guérin immunotherapy for non‐muscle‐invasive bladder cancer. Two months later, he developed an irregular pelvic mass surrounding the prostate and rectum with no fever. A colonoscopy showed purulent mucus discharge in the lower rectum, and a CT‐guided needle biopsy revealed epithelioid granuloma containing Langhans giant cells. Although acid‐fast bacteria culture and PCR of biopsy samples were negative, he was clinically diagnosed with Bacillus Calmette‐Guérin‐related tuberculous prostatic abscess spreading to the rectum. After receiving combined antitubercular drugs for 6 months, his discomfort disappeared with almost complete shrinkage of the prostatic abscess. Conclusion Tuberculous prostatic abscess is a rare complication associated with Bacillus Calmette‐Guérin immunotherapy and sometimes induces rectal fistula. Conservative treatment with antitubercular drugs is efficient and safe for treatment of tuberculous prostatic abscess. |
| format | Article |
| id | doaj-art-b587e052cb374361ab6ce4f1d15065b0 |
| institution | DOAJ |
| issn | 2577-171X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-b587e052cb374361ab6ce4f1d15065b02025-08-20T02:57:40ZengWileyIJU Case Reports2577-171X2025-01-0181697210.1002/iju5.12814Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapyTatsuhiro Sawada0Ayaka Igarashi1Seiji Arai2Akira Ohtsu3Yuji Fujizuka4Shun Nakazawa5Yoshitaka Sekine6Hidekazu Koike7Yosuke Furuya8Kazuhiro Suzuki9Department of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Kurosawa Hospital Takasaki Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanIntroduction Intravesical Bacillus Calmette‐Guérin immunotherapy is generally a safe treatment for non‐muscle‐invasive bladder cancer but sometimes causes complications. Case presentation The patient was an 80‐year‐old man who had undergone Bacillus Calmette‐Guérin immunotherapy for non‐muscle‐invasive bladder cancer. Two months later, he developed an irregular pelvic mass surrounding the prostate and rectum with no fever. A colonoscopy showed purulent mucus discharge in the lower rectum, and a CT‐guided needle biopsy revealed epithelioid granuloma containing Langhans giant cells. Although acid‐fast bacteria culture and PCR of biopsy samples were negative, he was clinically diagnosed with Bacillus Calmette‐Guérin‐related tuberculous prostatic abscess spreading to the rectum. After receiving combined antitubercular drugs for 6 months, his discomfort disappeared with almost complete shrinkage of the prostatic abscess. Conclusion Tuberculous prostatic abscess is a rare complication associated with Bacillus Calmette‐Guérin immunotherapy and sometimes induces rectal fistula. Conservative treatment with antitubercular drugs is efficient and safe for treatment of tuberculous prostatic abscess.https://doi.org/10.1002/iju5.12814AbscessBCGbladder cancerprostaterectal fistula |
| spellingShingle | Tatsuhiro Sawada Ayaka Igarashi Seiji Arai Akira Ohtsu Yuji Fujizuka Shun Nakazawa Yoshitaka Sekine Hidekazu Koike Yosuke Furuya Kazuhiro Suzuki Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy IJU Case Reports Abscess BCG bladder cancer prostate rectal fistula |
| title | Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy |
| title_full | Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy |
| title_fullStr | Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy |
| title_full_unstemmed | Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy |
| title_short | Afebrile tuberculous prostatic abscess with rectal fistula after intravesical Bacillus Calmette‐Guérin immunotherapy |
| title_sort | afebrile tuberculous prostatic abscess with rectal fistula after intravesical bacillus calmette guerin immunotherapy |
| topic | Abscess BCG bladder cancer prostate rectal fistula |
| url | https://doi.org/10.1002/iju5.12814 |
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