2017
DOI: 10.1186/s12894-017-0304-5
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Emerging concepts and spectrum of renal injury following Intravesical BCG for non-muscle invasive bladder cancer

Abstract: BackgroundIntravesical Bacilli Calmette-Guerin (IVBCG) therapy for non-muscle invasive bladder cancer (NMIBC) has long been in use successfully. Albeit rarely, we still face with its safety concerns more than 25 years on since its approval by US Food and Drug Agency in 1990. Local and systemic infection following intravesical BCG is widely reported as compared to immune mediated local or systemic hypersensitivity reactions involving kidneys; acute kidney injury (AKI) and other renal manifestations are well rep… Show more

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Cited by 16 publications
(9 citation statements)
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“…4,5 Toxicity is reported to be dose-dependent and strain-specific. 6 Antituberculous drugs administration and low-dose steroid treatment are suggested as empirical therapy in suspected cases. 4 Despite scanty literature data, other infectious causes of bone marrow granulomatosis in patients presenting with pancytopenia and fever include Leishmania, Brucella, Coxiella burnetii (Q fever), Bartonella, EBV, CMV.…”
Section: Discussionmentioning
confidence: 99%
“…4,5 Toxicity is reported to be dose-dependent and strain-specific. 6 Antituberculous drugs administration and low-dose steroid treatment are suggested as empirical therapy in suspected cases. 4 Despite scanty literature data, other infectious causes of bone marrow granulomatosis in patients presenting with pancytopenia and fever include Leishmania, Brucella, Coxiella burnetii (Q fever), Bartonella, EBV, CMV.…”
Section: Discussionmentioning
confidence: 99%
“…The majority of described cases referred to AKI caused by interstitial nephritis. In these cases, the therapy with glucocorticoids was administered and in three out of eight patients the renal function recovered [ 188 , 189 , 190 ]. The other single cases include nephritis in the course of Henoch–Schönlein purpura [ 191 ] and membranous glomerulonephritis with clinical presentation of nephrotic syndrome [ 192 ].…”
Section: Therapeutic Cancer Vaccinesmentioning
confidence: 99%
“…The majority of described cases referred to AKI caused by interstitial nephritis. In these cases, the therapy with glucocorticoids was administered and in three out of eight patients the renal function recovered [144][145][146]. The other single cases include nephritis in the course of Henoch Schönlein Purpura [147] and membranous glomerulonephritis with clinical presentation of nephrotic syndrome [148].…”
Section: Renal Adverse Effectsmentioning
confidence: 99%