Effectiveness of Steroid Pulse Therapy for Systemic Side Effects after Bacillus Calmette-Guérin Intravesical Instillation Therapy: A Series of Five Cases

<table class="table-group" id="tab1"><tr><td><table class="table"><tr><td class="thead-hr" colspan="3"><hr/></td></tr><tr class="thead"><td class="align_left"></td><td class="align_center">Type of BCG infection</td><td class="align_center">Treatment</td></tr><tr><td class="thead-hr" colspan="3"><hr/></td></tr><tr><td class="align_left">Local</td><td class="align_center">Infection of the bladder, kidney, renal pelvis, ureter, prostate, and epididymis.</td><td class="align_center">Discontinue BCG. Administer isoniazid, rifampicin, and ethambutol for 3–6 months.</td></tr><tr><td class="align_left">Systemic</td><td class="align_center">Hematogenous dissemination of BCG to the systemic organs (BCG sepsis, hepatitis, and cerebromeningitis, among others).</td><td class="align_center">Discontinue BCG. Administer isoniazid, rifampicin, and ethambutol for six months.</td></tr><tr><td class="align_left">Ectopic</td><td class="align_center">Ectopic infection of aneurysms and artificial organs (artificial joints, etc.), among others.</td><td class="align_center">Administer isoniazid and rifampicin for one year. Consider excision of the infected area.</td></tr><tr class="table-tr"><td colspan="3"><hr class="tbody-hr"/></td></tr></table></td></tr><tr class="table-fn"><td><div>BCG = Bacillus Calmette-Guérin.<br/></div></td></tr></table>

<div>Types of Bacillus Calmette-Guérin infections and treatments.</div>

Case Reports in Urology

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Table 1

Table 1: Effectiveness of Steroid Pulse Therapy for Systemic Side Effects after Bacillus Calmette-Guérin Intravesical Instillation Therapy: A Series of Five Cases 

Table 1 | Effectiveness of Steroid Pulse Therapy for Systemic Side Effects after Bacillus Calmette-Guérin Intravesical Instillation Therapy: A Series of Five Cases 