%0 Journal Article
%T Sepse fatal ap¨®s instila£¿£¿o intravesical de BCG: relato de caso
%A Andrade e Silva
%A Ulysses Vasconcellos de
%A Viana
%A Luciano de Souza
%A Oliveira e Castro
%A Paulo de Tarso de
%A Almeida
%A Rosana Ducatti Souza
%A Silva
%A Richard Sedric Pires da
%J Revista Brasileira de Terapia Intensiva
%D 2011
%I Associa??o de Medicina Intensiva Brasileira
%R 10.1590/S0103-507X2011000100016
%X intravesical instillation of bacillus calmette-gu¨¦rin (bcg) is the treatment of choice for carcinoma in situ and non-invasive high-grade superficial tumors of the urinary bladder. this treatment is well tolerated overall, but serious complications can occur. an elderly man with coronary disease and recurrent high-grade superficial carcinoma of the bladder underwent intravesical instillation of bcg and developed septic shock. he received wide range antibiotics, tuberculostatic and vasoactive drugs, corticosteroids, mechanical ventilation and renal replacement therapy without improvement. he died nine days after the intravesical instillation of bcg because of multiple organ failure.
%K urinary bladder neoplasm [therapy]
%K immunotherapy
%K mycobacterium bovis
%K bcg vaccine [adverse effects]
%K sepsis
%K case reports.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0103-507X2011000100016&lng=en&nrm=iso&tlng=en