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BCG reaction
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BCG reaction

Hello,
I am pulmonologist and I have seen a patient with NMIBC,which,after the second insilation with BCG,2 weeks ago,developes fever 39-40 degrees(Celsius).Since than,despite the treatement(initial with OFLOXACINE 10 days,than with CEFORT,now with ISONIASIDE+ETAMBUTOL+RIFAMPICINE+MOXIFLOXACINE-perfusions-has still 39 fever.
  Could we consider that it is an systemic reaction to BCG?
  How must we(or,the urologists)manage this case?
  How do we know if it is an UTI with an resistant germ,or it is a TB infection?(after 2 recent instilations of BCG,IDR(PPD) or the TB-GOLD QUANTIFERON,are ,probably,positif
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I don't know if other doctors respond, but hope you get the answer you were looking for.
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