Reactive Arthritis – A Rare Complication of Intravesical BCG Instillation
  • Marta Freixa
    Department of Internal Medicine, Hospital Pulido Valente, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal
  • Sara Úria
    Department of Internal Medicine, Hospital Pulido Valente, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal
  • Glória Nunes da Silva
    Department of Internal Medicine, Hospital Pulido Valente, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal

Keywords

Reactive arthritis, intravesical Bacillus Calmette-Guérin, carcinoma in situ of the bladder

Abstract

Reactive arthritis (ReA) with the classic triad of arthritis, conjunctivitis and urethritis, previously termed Reiter’s syndrome, is a systemic illness, usually induced by genitourinary or gastrointestinal infections. However, it can be a rare complication of intravesical Bacillus Calmette-Guérin instillation (iBCG), a therapy prepared from attenuated strains of Mycobacterium bovis, a common and effective treatment for carcinoma in situ of the bladder (CisB). We report a case of a patient with CisB who developed ReA after iBCG. The symptoms resolved completely with corticosteroids. iBCG was stopped with no recurrence of carcinoma within 2 years.

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    Published: 2020-02-04
    Issue: 2020: Vol 7 No 3 (view)

    How to cite:
    1.
    Freixa M, Úria S, da Silva GN. Reactive Arthritis – A Rare Complication of Intravesical BCG Instillation. EJCRIM 2020;7 doi:10.12890/2020_001448.