Multi-organ failure with atypical liver granulomas following intravesical Bacillus Calmette-Guerin instillation

doi:10.4254/wjh.v3.i3.79

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Mar 27, 2011 (publication date) through Nov 26, 2024

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Hepatol. Mar 27, 2011; 3(3): 79-82
Published online Mar 27, 2011. doi: 10.4254/wjh.v3.i3.79

Table 1 Response of the laboratory parameters and fever to the applied therapy

Procedure	Cultures, acid-fast,PCR blood, urine,sputum		Chest CT scan		FNB and liverPCR
Day	1	2	4	7	10	13	18	28
Bilirubin	0.4	0.6	1.4	2.0	3.6	3.3	2.7	1.4
CRP	3.7	5.7	18.6	16.2	14.5	6.0	5.6	3.8
Hb	14.8	13.6	11.9	9.4	9.5	8.7	9.6	10.6
WBC	4.2	3.7	3.3	3.2	2.9	2.0	2.4	5.3
PLT	440.0	300.0	92.0	66.0	74.0	87.0	134.0	342.0
Fever	Y	Y	Y	Y	Y	N	N	N
Pip/Tazo	STx	Tx	DTx	-	-	-	-	-
Isonia	-	-	STx	Tx	Tx	Tx	Tx	Tx
Rifamp	-	-	STx	Tx	Tx	Tx	Tx	Tx
Ethamb	-	-	STx	Tx	Tx	Tx	Tx	Tx
Prednis	-	-	STx	Tx	Tx	Tx	Tx	Tx

CRP: C-reactive protein (nr: < 0.3 mg/dL); Hb: haemoglobin (nr: 12.2-18.1 g/dL); WBC: white blood cells (nr: 4.5-10.2 × 103/μL); PLT: platelets (nr: 140-450 × 103/μL); Pip/Tazo: piperacillin/tazobactam; Isonia: isoniazid; Rifamp: rifampicin; Ethamb: ethambutol; Prednis: prednisolone; Y: yes; N: no; STx: start treatment; Tx: treatment; DTx: discontinue treatment; FNB: fine needle biopsy; PCR: polymerase chain reaction; CT: computed tomography; nr: normal range.

Citation: Kaklamanos M, Hardavella G, Trigidou R, Dionellis G, Paissios N, Koulouris N, Goritsas C. Multi-organ failure with atypical liver granulomas following intravesical Bacillus Calmette-Guerin instillation. World J Hepatol 2011; 3(3): 79-82
URL: https://www.wjgnet.com/1948-5182/full/v3/i3/79.htm
DOI: https://dx.doi.org/10.4254/wjh.v3.i3.79