Reactions Weekly

, Volume 1781, Issue 1, pp 82–82 | Cite as


Lumbar discitis and osteomyelitis: case report
Case report
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An event is serious (based on the ICH definition) when the patient outcome is:

  • * death

  • * life-threatening

  • * hospitalisation

  • * disability

  • * congenital anomaly

  • * other medically important event

An 80-year-old man developed lumbar discitis and osteomyelitis due to Mycobacterial bovis infections during treatment with BCG for superficial bladder cancer.

The man was admitted to the hospital with a 2 week history of increasing lumbar back pain. His medical history included hypertension, hyperlipidaemia and bladder cancer. For bladder cancer, he had been treated with BCG [Bacillus Calmette-Guerin] instillation chemotherapy [route and dosage not stated]. During the previous 2 years, he had received more than 27 BCG instillation therapies and more than 10 cystoscopies for bladder cancer. The most recent instillation of BCG and cystoscopy was administered 1 month previously. He exhibited malaise, right ring finger pain and low back pain. Physical examination of his back showed...


  1. Heck CL, et al. BCG-induced discitis and osteomyelitis in a patient with a history of bladder cancer. JAAPA 32: 1-4, No. 5, May 2019. Available from: URL: - USACrossRefGoogle Scholar

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© Springer International Publishing AG 2019

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