Disfunción orgánica múltiple como complicación de la instilación intravesical de bacilo de Calmette-Guérin

comunicación de un caso y revisión de la literatura

  • Eduardo Moreira Sanatorio CASMER. Centro de Tratamiento Intensivo
  • Daniel Goleniuk Sanatorio CASMER. Centro de Tratamiento Intensivo
  • Henry Albornoz Universidad de la República. Facultad de Medicina. Cátedra de Enfermedades Infecciosas
Palabras clave: BACILO DE CALMETTE-GUÉRIN INTRAVESICAL, NEOPLASIAS DE LA VEJIGA URINARIA, CARCINOMA

Resumen

La instilación intravesical de bacilo de Calmette-Guérin (BCG) es el tratamiento de primera línea para el carcinoma superficial de células transicionales de la vejiga. Aunque su uso es relativamente seguro, complicaciones graves como hepatitis granulomatosa, osteomielitis, neumonía, sepsis y disfunción orgánica múltiple se producen en algunos pacientes. Presentamos el caso de un paciente con diagnóstico de carcinoma de células de transición superficial de la vejiga (T1), que fallece como consecuencia de una complicación sistémica grave con severo compromiso del sistema nervioso central, secundaria a la instilación intravesical de BCG.

Citas

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Publicado
2019-07-12
Cómo citar
1.
Moreira E, Goleniuk D, Albornoz H. Disfunción orgánica múltiple como complicación de la instilación intravesical de bacilo de Calmette-Guérin. Rev. Méd. Urug. [Internet]. 12 de julio de 2019 [citado 15 de julio de 2020];33(4):216-8. Disponible en: http://revista.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/90