David W. Puett, MD; Howard A. Fuchs, MD
To the Editors: A 49-year-old male had transurethral resection and intravesical and intramuscular bacillus Calmette-Guerin (BCG) therapy in 1988 for transitional cell carcinoma of the bladder. From October to December 1991, he again received intravesicular BCG for tumor recurrence. Within 2 weeks of the last instillation, he developed metatarsophalangeal joint and hip pain. Physical examination showed dactylitis of the left fourth toe, pain with motion of his right hip, and stress of both sacroiliac joints. Erythrocyte sedimentation rate was 61 mm/h, and rheumatoid factor was absent. Indomethacin, 50 mg three times a day, isoniazid, 300 mg/d, and rifampin, 600 mg/d,
Puett DW, Fuchs HA. Arthritis after Bacillus Calmette-Guerin Therapy. Ann Intern Med. 1992;117:537. doi: 10.7326/0003-4819-117-6-537_1
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Published: Ann Intern Med. 1992;117(6):537.
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