Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication

Bacillus Calmette and Guérin (BCG), widely used as a vaccination to prevent tuberculosis, is also used as immunotherapy, by intrabladder instillation, to treat superficial bladder cancers and prevent recurrence. Complications following instillation of BCG are most often localized reactions, such as...

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Main Authors: Hakima Abid, Mouna Figuigui, Sidi Adil Ibrahimi, Mohamed El Abkari, Mohamed Mzyiene, Soufiane Ennaciri, Ouima Justin Ziba, Mohamed Jamal El Fassi, Layla Tahiri Elousrouti, Laila Chbani
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Hepatology
Online Access:http://dx.doi.org/10.1155/2021/4574879
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author Hakima Abid
Mouna Figuigui
Sidi Adil Ibrahimi
Mohamed El Abkari
Mohamed Mzyiene
Soufiane Ennaciri
Ouima Justin Ziba
Mohamed Jamal El Fassi
Layla Tahiri Elousrouti
Laila Chbani
author_facet Hakima Abid
Mouna Figuigui
Sidi Adil Ibrahimi
Mohamed El Abkari
Mohamed Mzyiene
Soufiane Ennaciri
Ouima Justin Ziba
Mohamed Jamal El Fassi
Layla Tahiri Elousrouti
Laila Chbani
author_sort Hakima Abid
collection DOAJ
description Bacillus Calmette and Guérin (BCG), widely used as a vaccination to prevent tuberculosis, is also used as immunotherapy, by intrabladder instillation, to treat superficial bladder cancers and prevent recurrence. Complications following instillation of BCG are most often localized reactions, such as cystitis or hematuria. They can more rarely be generalized and potentially severe such as hepatitis, pneumopathies, aortitis, and localization to hematopoietic tissue. We have reported the observation of a 47-year-old patient followed up for a bladder tumor operated for transurethral resection of the bladder, then having benefited from an instillation of BCG therapy complicated by occurrence a week later of an acute hepatitis. The diagnostic time was 2 days, and the outcome was favorable with corticosteroid therapy.
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institution Kabale University
issn 2090-6587
2090-6595
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Hepatology
spelling doaj-art-6142073b78c74d2d8da06e054e4b18e62025-02-03T07:24:02ZengWileyCase Reports in Hepatology2090-65872090-65952021-01-01202110.1155/2021/45748794574879Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious ComplicationHakima Abid0Mouna Figuigui1Sidi Adil Ibrahimi2Mohamed El Abkari3Mohamed Mzyiene4Soufiane Ennaciri5Ouima Justin Ziba6Mohamed Jamal El Fassi7Layla Tahiri Elousrouti8Laila Chbani9Department of Hepato-Gastroenterology, University Hospital Hassan II-Fez, Laboratory of Human Pathology, Biomedicine and Environment, Fes, MoroccoDepartment of Hepato-Gastroenterology, University Hospital Hassan II-Fez, Laboratory of Human Pathology, Biomedicine and Environment, Fes, MoroccoDepartment of Hepato-Gastroenterology, University Hospital Hassan II-Fez, Laboratory of Human Pathology, Biomedicine and Environment, Fes, MoroccoDepartment of Hepato-Gastroenterology, University Hospital Hassan II-Fez, Laboratory of Human Pathology, Biomedicine and Environment, Fes, MoroccoFaculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University Fez-Morocco, Fes, MoroccoFaculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University Fez-Morocco, Fes, MoroccoFaculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University Fez-Morocco, Fes, MoroccoFaculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University Fez-Morocco, Fes, MoroccoFaculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University Fez-Morocco, Fes, MoroccoFaculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University Fez-Morocco, Fes, MoroccoBacillus Calmette and Guérin (BCG), widely used as a vaccination to prevent tuberculosis, is also used as immunotherapy, by intrabladder instillation, to treat superficial bladder cancers and prevent recurrence. Complications following instillation of BCG are most often localized reactions, such as cystitis or hematuria. They can more rarely be generalized and potentially severe such as hepatitis, pneumopathies, aortitis, and localization to hematopoietic tissue. We have reported the observation of a 47-year-old patient followed up for a bladder tumor operated for transurethral resection of the bladder, then having benefited from an instillation of BCG therapy complicated by occurrence a week later of an acute hepatitis. The diagnostic time was 2 days, and the outcome was favorable with corticosteroid therapy.http://dx.doi.org/10.1155/2021/4574879
spellingShingle Hakima Abid
Mouna Figuigui
Sidi Adil Ibrahimi
Mohamed El Abkari
Mohamed Mzyiene
Soufiane Ennaciri
Ouima Justin Ziba
Mohamed Jamal El Fassi
Layla Tahiri Elousrouti
Laila Chbani
Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication
Case Reports in Hepatology
title Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication
title_full Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication
title_fullStr Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication
title_full_unstemmed Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication
title_short Acute Hepatitis Induced by Intravesical BCG Therapy: A Rare but Serious Complication
title_sort acute hepatitis induced by intravesical bcg therapy a rare but serious complication
url http://dx.doi.org/10.1155/2021/4574879
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