Bacillus Calmette-Guerin İmmünoterapisi Sonrası Gelişen Ölümcül Sistemik Komplikasyonlar: Olgu Sunumu

Year 2012, Volume: 3 Issue: 4, 108 - 110, 01.10.2012

Ferhat İçme İlyas Ertok Ayça Açıkalın Nalan Kozacı

Abstract

Mesanenin değişici epitel karsinomlarının yaklaşık %70’ini kasa
invaze olmayan mesane kanserleri oluşturur ve bu kanserlerde
Bacillus Calmette-Guerin (BCG) tedavi ve nüksü önlemek için
profilaktik olarak uygulanmaktadır. Bu uygulama genel olarak
güvenilir kabul edilmekte ve nadiren sistemik komplikasyonlara
neden olmaktadır. Biz bu yazıda mesane karsinomu nedeniyle
transüretral rezeksiyon uygulanan ve daha sonra intravezikal BCG
immünoterapisi başlanan hastada 5. kür BCG uygulanmasından
sonra hipersensitivite reaksiyonu, tuberküloz sepsisi, akut böbrek
yetmezliği, DIC, metebolik asidoz gelişen ve eş zamanlı pulmoner
emboli saptanan olguyu sunmak istedik.

Keywords

Bacillus Calmette-Guerin, sistemik komplikasyonlar, mesane kanserleri

Fatal Systemic Complications after Bacillus Calmette-Guérin Immunotherapy: A Case Report

Abstract

Approximately 70% of bladder transitional epithelium cell carcinomas are non-invasive muscular bladder cancers, and for the treatment and prevention of recurrence of this type of cancer, Bacillus Calmette-Guerin (BCG) is applied prophylactically. This practice is generally considered reliable and rarely causes systemic complications. We present here a case in which the patient underwent transurethral resection due to bladder carcinoma and subsequently received intravesical BCG immunotherapy. After the fifth application of BCG, hypersensitivity, tuberculosis sepsis, acute kidney injury, DIC, metabolic acidosis and simultaneous pulmonary embolism were observed

Keywords

Bacillus Calmette-Guerin, systemic complications, vesical carcinomas

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