Failed endovascular abdominal aortic aneurysm repair due to Mycobacterium bovis infection following intravesical bacillus Calmette-Guérin therapy.

Abstract

A mycotic aneurysm after intravesical instillation of bacillus Calmette-Guérin (BCG) for early-stage bladder cancer is a rare, but life-threatening, complication. In the present report, we have described the case of a patient who had undergone endovascular aneurysm repair for a rapidly growing saccular abdominal aortic aneurysm after BCG therapy. Three months after endovascular aneurysm repair, the patient had developed an abscess that required open surgery. Cultures from a blood sample and the abscess revealed Mycobacterium bovis BCG. A mycotic aneurysm due to BCG therapy should be suspected in patients with a history of BCG treatment. Such patients should immediately start antitubercular therapy.

• Authors: Masato Nishizawa, Toshifumi Kudo, Toshiki Kijima, Yasuhisa Fujii
• Journal: Journal of vascular surgery cases and innovative techniques (J Vasc Surg Cases Innov Tech) Vol. 8 Issue 4 Pg. 807-812 (Dec 2022) ISSN: 2468-4287 [Print] United States
• PMID: 36507086 (Publication Type: Case Reports)
• Copyright: © 2022 The Authors.