Ces Urol 2026, 30(2):84-87 | DOI: 10.48095/cccu2026010

Rare systemic complications of intravesical Bacillus Calmette-Guérin therapy

Ondřej Tolar1, Jan Fogl1, Vít Paldus1, Vladimír ©ámal1,2
1 Urologie, Krajská nemocnice Liberec, a.s.
2 Urologická klinika LF UK a FN Hradec Králové

At the Krajská nemocnice Liberec, intravesical Bacillus Calmette-Guérin (BCG) immunotherapy was administered to approximately 140 patients between 2019 and 2025. We present two case reports - a patient with miliary pulmonary tuberculosis and a patient with a tuberculous abscess located beneath the pectoral muscle following intravesical BCG therapy. Both cases illustrate the importance of early recognition of complications, timely initiation of appropriate antituberculous treatment, and the necessity of a multidisciplinary approach.

Keywords: intravesical BCG therapy – complications – BCGitis – bladder cancer – case report

Received: February 5, 2026; Revised: March 30, 2026; Accepted: April 17, 2026; Prepublished online: June 19, 2026; Published: June 22, 2026 


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