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: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Freixa, M., Úria, S., & da Silva, G. (2020). Reactive Arthritis – A Rare Complication of Intravesical BCG Instillation. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2020_001448