Haemophagocytic syndrome secondary to secondary BCG instillations
DOI:
https://doi.org/10.32818/reccmi.a2n3a12Keywords:
hemophagocytic lymphohistiocytosis, Mycobacterium bovis, transitional cell carcinomaAbstract
A patient under treatment of bladder instillations of Calmette-Guerin bacillus (BCG) due to a record of bladder carcinoma, was hospitalized because of fever, malaise, anemia, thrombopenia, as well as a rise in the level of transaminases and bilirubin with associated splenomegaly. The patient was diagnosed with hemophagocytic syndrome secondary to hematogenous dissemination of BCG. After establishing the tuberculostatic treatment associated with corticosteroids and intravenous immunoglobulins, the patient evolved satisfactorily.
Downloads
Metrics
References
Weitzman S. Approach to hemophagocytic syndromes. Hematol Educ Program Am Soc Hematol Am Soc Hematol Educ Program. 2011; 2011: 178-183.
Rouphael NG, Talati NJ, Vaughan C, Cunningham K, Moreira R, Gould C. Infections associated with haemophagocytic syndrome. Lancet Infect Dis. 2007; 7(12): 814-822.
Misra S, Gupta A, Symes A, Duncan J. Haemophagocytic syndrome after intravesical bacille Calmette-Guérin instillation. Scand J Urol. 2014; 48(3): 328-330.
Schleinitz N, Bernit E, Harle JR. Severe hemophagocytic syndrome after intravesical BCG instillation. Am J Med. 2002; 112(7): 593-594.
Borré S, Brustia D, Rosa F, Brondolo R, Rizzo G, Garavelli PL. Calmette-Guerin bacillus disseminated infection after intravesical instillation. Recenti Prog Med. 2002; 93(4): 247-248.
González MJB, Franco AG, Alvaro CG. Hemophagocytic lymphohistiocytosis secondary to Calmette-Guèrin bacilli infection. Eur J Intern Med. 2008; 19(2): 150.
Thevenot T, Di Martino V, Lagrange A, Petrella T, Faucher J-F, Fontan J, et al. Granulomatous hepatitis and hemophagocytic syndrome after bacillus Calmette-Guerin bladder instillation. Gastroentérologie Clin Biol. 2006; 30(3): 480-482.
George M. Hemophagocytic lymphohistiocytosis: review of etiologies and management. J Blood Med. 2014; 5: 69-86.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Victoria Morell-Massó, Pedro Moral, Miguel Salavert, María Leonor Senent
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.