An Unusual Cause of Hepatic Dysfunction

doi:10.1053/j.gastro.2017.02.045

Gastroenterology

Volume 153, Issue 4, October 2017, Pages 906-907

https://doi.org/10.1053/j.gastro.2017.02.045 Get rights and content

Section snippets

Answer to: Image 3 (page 906): Disseminated Bacillus Calmette-Guérin Disease

Although culture and polymerase chain reactions for acid-fast bacterium were negative, the possibility of disseminated BCG infection could not be denied. He was treated with oral isoniazid (300 mg/d), rifampicin (600 mg/d), and ethambutol (875 mg/d). Six days after treatment, the liver function tests results did not improve sufficiently. Liver biopsy results showed multiple epithelioid granulomas in the parenchyma with edema and lymphocytic infiltration in the portal tract, confirming

References (3)

N.M. Gandhi et al.
Bacillus Calmette-Guérin immunotherapy for genitourinary cancer
BJU Int
(2013)

There are more references available in the full text version of this article.

Cited by (1)

Analysis on clinical features of granulomatous hepatitis induced by intravesical instillation with Bacillus Calmette‑Guérin vaccine
2022, Adverse Drug Reactions Journal

: Conflicts of interest The authors disclose no conflicts.

: For submission instructions, please see the Gastroenterology web site (www.gastrojournal.org).

View full text

Gastroenterology

Clinical Challenges and Images in GIAn Unusual Cause of Hepatic Dysfunction

Section snippets

Answer to: Image 3 (page 906): Disseminated Bacillus Calmette-Guérin Disease

Bacillus Calmette-Guérin immunotherapy for genitourinary cancer

BJU Int

Analysis on clinical features of granulomatous hepatitis induced by intravesical instillation with Bacillus Calmette‑Guérin vaccine

Clinical Challenges and Images in GI
An Unusual Cause of Hepatic Dysfunction