BMJ Case Reports 2013; doi:10.1136/bcr-2012-008161

Combined infection of vertebroplasty and aortic graft after intravesical BCG treatment

  1. M E E Van Kasteren4
  1. 1Department of Internal Medicine, St. Elisabeth Hospital, Tilburg, The Netherlands
  2. 2Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands
  3. 3Department of Pulmonology, University Medical Centre Groningen, Haren, The Netherlands
  4. 4Department of Internal Medicine, St. Elisabeth Hospital, Tilburg, The Netherlands
  1. Correspondence to Bart Santbergen, b.santbergen{at}


We report a 58-year-old man with spondylodiscitis by Mycobacterium bovis-BCG 3 years after intravesical BCG treatment, and shortly after a vertebroplasty. Further examination showed a psoas abscess and oedema around an endovascular aortic graft, which had been placed 1 year earlier. Puncture of the psoas abscess also grew M bovis-BCG. The patient recovered with a combination of antituberculous treatment and surgery. With hindsight a mycotic aneurysm had been present at the time of aortic graft placement and spondylodiscitis at the time of vertebroplasty. This case shows that low grade and longstanding infections may occur following intravesical BCG installation.

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