Massive Hemoptysis From an Aortobronchial Fistula Secondary to BCG-Related Mycotic Thoracic Aortic Aneurysm.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26694276.
- Also identified by DOI 10.1016/j.athoracsur.2015.03.053.
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Abstract
Intravesical bacillus Calmette-Guérin (BCG) is first-line therapy for noninvasive bladder cancer. Although side effects are rare, systemic dissemination can result in mycotic aneurysms. We report the case of a rapidly developing thoracic aortic mycotic aneurysm presenting as massive hemoptysis from an aortobronchial fistula. This case was unusual in its location, rapidity of development, and failure of medical therapy. The diagnostic challenges and the need for a high index of suspicion are discussed.
Medical subject headings
- Aneurysm, Infected
- Aortic Aneurysm, Thoracic
- BCG Vaccine
- Hemoptysis
- Vascular Fistula