Aortic endograft infection with Mycobacterium bovis following intravesical BCG immunotherapy diagnosed via the Karius Test™- case report and review of literature

Bacillus Calmette-Guérin (BCG), a live attenuated form of Mycobacterium bovis, is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endogra...

Full description

Saved in:
Bibliographic Details
Main Authors: Prateek Sharma, Kristin Schafer, Richard J. Hankins, Jonathan R. Thompson, Jason R. Cook
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772687825000170
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bacillus Calmette-Guérin (BCG), a live attenuated form of Mycobacterium bovis, is utilized in non–muscle-invasive bladder cancer therapy. Disseminated BCG infection causing vascular graft infection is extremely rare. In this report, we review the literature and describe a rare case of aortic endograft infection in a 72- year-old man, who underwent intravesical BCG treatment four years ago that was diagnosed utilizing next generation sequencing technique via the Karius test™ enabling earlier diagnosis and treatment start compared to conventional microbiological diagnostic tools. The morbidity and mortality from aortic graft infections remain high, therefore prompt diagnosis and multidisciplinary approach is paramount.
ISSN:2772-6878