Drug-induced interstitial pneumonia after intravesical Bacillus Calmette-Guerin administration for bladder cancer with scleroderma

IJU Case Reports

article

Fumie Yoshioka¹  Taigo Kato¹  Yoshihito Shima²  Koji Hatano¹  Atsunari Kawashima¹  Shinichiro Fukuhara¹  Ryoichi Imamura¹  Norio Nonomura¹ 

[1] Department of Urology, Osaka University Graduate School of Medicine;Department of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine;Department of Thermo-Therapeutics for Vascular Dysfunction, Osaka University Graduate School of Medicine

关键词: BCG;    bladder cancer;    DLST;    interstitial pneumonia;    scleroderma;   

DOI  :  10.1002/iju5.12569

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

IntroductionIntravesical Bacillus Calmette-Guerin administration is the standard therapy for high-risk nonmuscle invasive bladder cancer and is usually well tolerated. However, some patients experience severe, potentially fatal, complications including interstitial pneumonitis. Case presentationA 72-year-old female with scleroderma was diagnosed with bladder carcinoma in situ. She developed severe interstitial pneumonitis with the first administration of intravesical Bacillus Calmette-Guerin after the cessation of immunosuppressive agents. Six days after the first administration, she experienced dyspnea at rest, and computed tomography revealed scattered frosted shadows in the upper lung. The following day, she required intubation. We suspected drug-induced interstitial pneumonia and started steroid pulse therapy for 3 days, resulting in a complete response. No exacerbation of scleroderma symptoms or recurrence of cancer was observed 9 months after Bacillus Calmette-Guerin therapy. ConclusionFor patients receiving intravesical Bacillus Calmette-Guerin therapy, close observation of the respiratory condition is necessary for early therapeutic intervention.

【 授权许可】

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