Tuberculous Spondylitis following Intravesical Bacillus Calmette-Guerin for Bladder Cancer
Joint Authors
Miyazaki, Masashi
Yoshiiwa, Toyomi
Ishihara, Toshinobu
Kawano, Masanori
Tsumura, Hiroshi
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We present a rare case of tuberculous spondylitis following intravesical Bacillus Calmette-Guerin (BCG) therapy for bladder cancer.
An 82-year-old man presented with low back pain.
Past medical history revealed bladder cancer diagnosed and treated 16 months previously by intravesical BCG.
Magnetic resonance imaging of the thoracic spine showed destruction of the T5 and T6 vertebrae and an epidural soft tissue mass with anterior dural sac compression.
Due to the progression of vertebral destruction, posterior spinal segmental fusion was performed.
Mycobacterium bovis (M.
bovis) was identified using multiplex polymerase chain reaction of surgical tissue specimens.
The patient was started on an antituberculosis treatment regimen including isoniazid, rifampicin, and ethambutol.
After surgery, his back pain resolved completely.
At the latest examination, the patient was pain-free with no functional limitations or recurrent infection in clinical or imaging findings.
Patients undergoing BCG therapy should be monitored for possible hematogenous spread of mycobacteria to the spine for months or even years after treatment.
American Psychological Association (APA)
Miyazaki, Masashi& Yoshiiwa, Toyomi& Ishihara, Toshinobu& Kawano, Masanori& Tsumura, Hiroshi. 2016. Tuberculous Spondylitis following Intravesical Bacillus Calmette-Guerin for Bladder Cancer. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102041
Modern Language Association (MLA)
Miyazaki, Masashi…[et al.]. Tuberculous Spondylitis following Intravesical Bacillus Calmette-Guerin for Bladder Cancer. Case Reports in Orthopedics No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102041
American Medical Association (AMA)
Miyazaki, Masashi& Yoshiiwa, Toyomi& Ishihara, Toshinobu& Kawano, Masanori& Tsumura, Hiroshi. Tuberculous Spondylitis following Intravesical Bacillus Calmette-Guerin for Bladder Cancer. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102041
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102041