标题：Polymyalgia rheumatica following intravesical bacillus Calmette-Guerin instillation: coincidence or true association? A case report and literature review
摘要：We report the case of a 73yearold male patient suffering from non muscle invasive bladder cancer (NMIBC) who had violent pains in his neck and shoulders associated with general discomfort and fever, following the second intravesical instillation of bacillus CalmetteGuerin (BCG), with further worsening after the third instillation During his hospitalization, laboratory tests showed a significant raise of inflammatory markers An ultrasound (US) examination of his shoulders showed bilateral longheadbiceps exudative tenosynovitis and subdeltoid bursitis An 18fluorodeoxyglucose positron emission tomography (18FDG PET) associated with total body computed tomography (CT) showed pathological inflammatory findings in neck and shoulders, with exclusion of pathological findings in other sites Cystoscopy was negative for NMIBC recurrence Polymyalgia rheumatica (PMR) was diagnosed and BCG instillations was stopped The patient had fast improvement of clinical manifestations and laboratory tests, but when he resumed them a few weeks later, the same manifestations recurred.
