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Implications of Isoniazid Resistance in Mycobacterium bovis Bacillus Calmette-Guerin used for Immunotherapy in Bladder Cancer
Author(s) -
Matthew Watts,
Peter C. Taylor,
Vitali Sintchenko,
Christopher M. Whelan,
Rae H. Farnsworth,
Patrick Jones,
Peter Jelfs,
David Carr,
Hazel Goldberg
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciq002
Subject(s) - isoniazid , mycobacterium bovis , medicine , bladder cancer , immunotherapy , bacillus (shape) , microbiology and biotechnology , bcg vaccine , immunology , cancer , mycobacterium tuberculosis , tuberculosis , pathology , vaccination , biology
We report a case of sepsis from Mycobacterium bovis Bacillus Calmette-Guérin (BCG) with low-level isoniazid resistance following intravesical treatment for bladder cancer. Isoniazid resistance in BCG has therapeutic implications when it causes infections after intravesical instillation. For these circumstances, we propose some modifications to existing treatment guidelines for BCG infection.

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