Case 75

  • Rita Joarder
  • Neil Crundwell


An 86-year-old male presented with lethargy, weight loss and generalised back pain. He was an ex-smoker (60 pack-years) and was treated by the cardiologists for angina. He has also been diagnosed in the last 3 months with superficial bladder carcinoma for which he was in the middle of a course of BCG bladder injections. A CT (Images 1a, b and 2) was requested to identify possible metastases as the cause of his symptoms.


Internal Medicine Toxic Effect Thoracic Surgery Maximum Intensity Systemic Effect 
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Further Reading

  1. Varghese A Et al (2007) Miliary tuberculsis induced by intravesical Bacille Calmette-Guerin (BCG) immunotherapy for bladder carcinoma: A case report. European J of Radiology Extra 64(1)5-9CrossRefGoogle Scholar
  2. Lamm DL et al. (1985) Complications of Bacillus Calmette-Guerin immunotherapy in 1278 patients with bladder cancer J.urol 135:72–274Google Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Rita Joarder
    • 1
  • Neil Crundwell
    • 1
  1. 1.Conquest HospitalEast SussexUK

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