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Updated: Aug 11, 2026
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Intravital Microscopy of the Inguinal Lymph Node
Published on: April 4, 2011
[Scrotal abscess with inguinal lymph node swelling in an 86-year-old man]
C Gemmel1, G Jacek, H C Lücking
1Medizinische Klinik C, Gastroenterologie, Hepatologie, Diabetologie und Infektiologie, Ludwigshafen.
Deutsche Medizinische Wochenschrift (1946)
|September 24, 2004
Summary
Late BCG infection can affect the lungs and urogenital tract years after bladder cancer treatment. Prompt diagnosis and multidisciplinary treatment are crucial for managing this rare complication.
Area of Science:
- Urology
- Infectious Diseases
- Oncology
Background:
- A patient with a history of bladder cancer treated with Bacille Calmette-Guérin (BCG) instillations presented with scrotal and inguinal symptoms.
- Bladder cancer treatment with BCG is common, but late complications are rare.
Observation:
- The patient, aged 86, exhibited right scrotal redness, swelling, and inguinal lymphadenopathy.
- Histological examination post-orchiectomy revealed granulomatous inflammation indicative of mycobacteriosis.
- Mycobacterium bovis BCG was isolated from sputum and urine samples.
Findings:
- The patient was diagnosed with a late-onset BCG infection affecting the urogenital tract and lungs.
- Tuberculostatic therapy was initiated post-surgery.
- Mycobacteria were undetectable in sputum and urine after seven weeks of treatment.
Implications:
- This case highlights a rare but serious late complication of BCG therapy for bladder cancer.
- Early recognition, accurate diagnosis, and prompt multidisciplinary treatment are essential for favorable outcomes.
- Further research into long-term BCG complication surveillance may be warranted.
