%0 Journal Article %T Acute Hepatitis and Pneumonitis Caused by Disseminated Bacillus Calmette-Gu¨Śrin Infection %A Ihab Shehadeh %A Khaled Dibs %A Osama Abu Atta %J Archive of "ACG Case Reports Journal". %D 2016 %R 10.14309/crj.2016.23 %X Intravesical instillation of Bacillus Calmette-Gu¨Śrin (BCG) is the treatment of choice for superficial bladder carcinoma. We report a case of disseminated BCG infection in an early stage bladder cancer patient that initially presented with hepatitis followed by pneumonitis and sepsis. A complete clinical response was achieved in 14 days with anti-mycobacterial therapy and prednisolone. Disseminated BCG is a rare treatment complication and is likely a combination of direct infection and hypersensitivity %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4748205/