[Reiter syndrome after intravesical Bacillus Calmette-Guerin (BCG) immunotherapy: a case report].

Abstract

A 56-year-old man who had previously undergone transurethral resection and intra-arterial chemotherapy for bladder cancer developed irritable bladder, bilateral conjunctivitis and arthritis including the knees, ankles and sacroiliac joints after starting intravesical Calmette-Guerin bacillus (BCG) immunotherapy. These symptoms were in agreement with the features of Reiter syndrome. One month after cessation of the intravesical BCG immunotherapy and initiation of the treatment with a non-steroidal anti-inflammatory drug (NSAID), he was not complaining of symptoms. Reiter syndrome is an uncommon complication after intravesical BCG immunotherapy. Nevertheless, since the prolonged arthritis has a possibility to cause joint deformity, we must pay serious attention to this side effect.

• Authors: Masahiro Shiba, Takahiro Fujii, Hiroshi Takatera
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 49 Issue 10 Pg. 599-601 (Oct 2003) ISSN: 0018-1994 [Print] Japan
• PMID: 14655604 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• BCG Vaccine

Topics

• Administration, Intravesical
• Arthritis, Reactive (epidemiology, etiology)
• BCG Vaccine (administration & dosage, adverse effects)
• Carcinoma, Transitional Cell (therapy)
• Humans
• Immunotherapy
• Male
• Middle Aged
• Urinary Bladder Neoplasms (therapy)