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Topuz B, Zor M, Yılmaz S, Kaya E. Uncommon adverse events of intravesical Bacillus Calmette-Guérin treatment: A report of three cases. REVISTA ESPANOLA DE QUIMIOTERAPIA 2021; 34:383-386. [PMID: 33956411 PMCID: PMC8329566 DOI: 10.37201/req/155.2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
| | - M Zor
- Murat ZOR, Gulhane Research and Training Hospital, Department of Urology, 06010 Etlik, Ankara, Turkey.
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McGuffin SA, Trowbridge RL, O'Hare AM, Olson AP. Diagnosing the Treatment. J Hosp Med 2018; 13:577-581. [PMID: 29964279 PMCID: PMC6467279 DOI: 10.12788/jhm.2981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Sarah A McGuffin
- Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.
- Department of Internal Medicine, University of Washington, Seattle, Washington, USA
| | - Robert L Trowbridge
- Department of Internal Medicine, Maine Medical Center, Portland, Maine, USA
- Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA
| | - Ann M O'Hare
- Division of Nephrology, VA Puget Sound Health Care System, Seattle, Washington, USA
- Division of Nephrology, University of Washington, Seattle, Washington, USA
| | - Andrew P Olson
- Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA
- University of Minnesota Medical School, Minneapolis, Minnesota, USA
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Moloney DP, Chawke L, Crowley MT, O'Connor TM. Fluctuating hypercalcaemia caused by cavitary Mycobacterium bovis pulmonary infection. BMJ Case Rep 2018; 2018:bcr-2017-222351. [PMID: 29374638 DOI: 10.1136/bcr-2017-222351] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Hypercalcaemia occurs in many granulomatous diseases. Among them, sarcoidosis and tuberculosis are the most common causes. Other causes include berylliosis, coccidioidomycosis, histoplasmosis, Crohn's disease, silicone-induced granulomas, cat-scratch disease, Wegener's granulomatosis and Pneumocystis carinii pneumonia. Hypercalcaemia in granulomatous disease occurs as a consequence of dysregulated production of 1,25-(OH)2 D3 (calcitriol) by activated macrophages in granulomas. Hypercalcaemia in patients with Mycobacterium tuberculosis infection has been reported in 0%-28% of cases. Uncultured bronchoalveolar lavage cells from patients with M. tuberculosis produce greater amounts of calcitriol compared with controls. Although Nayar et al described hypercalcaemia in a case of sepsis associated with intravesical Bacille Calmette Guerin therapy, there are no published reports describing hypercalcaemia in patients with pulmonary M. bovis infection. We describe a patient with M. bovis cavitary pulmonary infection with sustained hypercalcaemia that fluctuated and recurred repeatedly over the course of therapy, ultimately culminating in normalisation of serum calcium when therapy had led to cure. Treatment consisted of antituberculous therapy, oral corticosteroids and intravenous bisphosphonates with a favourable outcome.
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Affiliation(s)
| | - Liam Chawke
- Department of Respiratory Medicine, Mercy University Hospital, Cork, Munster, Ireland
| | | | - Terence M O'Connor
- Department of Respiratory Medicine, Mercy University Hospital, Cork, Munster, Ireland
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Goulabchand R, Dufour S, Murez T, Broner J, Rivière S, Guilpain P, Le Quellec A. [Systemic Bacillus Calmette-Guerin sepsis manifesting as autoimmunity, 17 months after an intravesical BCG-therapy]. Med Mal Infect 2017; 47:558-561. [PMID: 28943176 DOI: 10.1016/j.medmal.2017.05.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2017] [Accepted: 05/24/2017] [Indexed: 01/20/2023]
Affiliation(s)
- R Goulabchand
- Département de médecine interne maladies multi-organiques, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Faculté de médecine, université de Montpellier, 2, rue de l'École-de-médecine, 34060 Montpellier cedex 2, France.
| | - S Dufour
- Département de médecine interne maladies multi-organiques, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Faculté de médecine, université de Montpellier, 2, rue de l'École-de-médecine, 34060 Montpellier cedex 2, France; Département de maladies infectieuses et tropicales, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France
| | - T Murez
- Service d'urologie et de transplantation rénale, hôpital Lapeyronie, 371, avenue du doyen Gaston-Giraud, 34295 Montpellier cedex 5, France; Faculté de médecine, université de Montpellier, 2, rue de l'École-de-médecine, 34060 Montpellier cedex 2, France
| | - J Broner
- Département de médecine interne maladies multi-organiques, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Faculté de médecine, université de Montpellier, 2, rue de l'École-de-médecine, 34060 Montpellier cedex 2, France
| | - S Rivière
- Département de médecine interne maladies multi-organiques, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France
| | - P Guilpain
- Département de médecine interne maladies multi-organiques, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Faculté de médecine, université de Montpellier, 2, rue de l'École-de-médecine, 34060 Montpellier cedex 2, France
| | - A Le Quellec
- Département de médecine interne maladies multi-organiques, hôpital Saint-Eloi, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France; Faculté de médecine, université de Montpellier, 2, rue de l'École-de-médecine, 34060 Montpellier cedex 2, France
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