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A CT-guided biopsy revealed granulomatous inflammation, focal fibrosis and acid-fast bacilli consistent with <jats:italic>Mycobacterium tuberculosis<\/jats:italic> (TB). The patient was treated with combination antituberculous medication, and is recovering. To our knowledge, this is the only reported case of lymph node TB secondary to intravesical BCG immunotherapy. We suggest that in patients treated with postintravesical BCG with enlarged lymph nodes, a diagnosis of secondary TB should be considered.<\/jats:p>","DOI":"10.1136\/bcr-2014-204037","type":"journal-article","created":{"date-parts":[[2014,5,2]],"date-time":"2014-05-02T09:57:46Z","timestamp":1399024666000},"page":"bcr2014204037","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A late presentation of isolated lymph node tuberculosis postintravesical BCG therapy for superficial bladder cancer: a novel case"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ali Moostapha","family":"Tasleem","sequence":"first","affiliation":[{"name":"Department of Urology, Darent Valley Hospital, Kent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branislav","family":"Varga","sequence":"additional","affiliation":[{"name":"Department of Urology, Darent Valley Hospital, Kent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wasim","family":"Mahmalji","sequence":"additional","affiliation":[{"name":"Department of Urology, Darent Valley Hospital, Kent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev","family":"Madaan","sequence":"additional","affiliation":[{"name":"Department of Urology, Darent Valley Hospital, Kent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,2]]},"reference":[{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2003.04655.x"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64043-8"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.3","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/S0022-5347(17)37316-0","article-title":"Incidence and treatment of complications of bacillus Calmette-Guerin intravesical therapy in superficial bladder cancer","volume":"147","author":"Lamm","year":"1992","journal-title":"J Urol"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.4","doi-asserted-by":"publisher","DOI":"10.1086\/344908"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.5","doi-asserted-by":"publisher","DOI":"10.1097\/RLU.0b013e3181b06c89"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.6","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs164"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.01.054"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-2109(03)00002-4"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.07.041"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.10","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.74979"},{"key":"2025082800251841000_2014.apr30_3.bcr2014204037.11","first-page":"36","article-title":"Caseating granulomas on the glans penis as a complication of Bacille Calmette-Gu\u00e9rin intravesical therapy","volume":"3","author":"French","year":"2001","journal-title":"Rev Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:25:28Z","timestamp":1756365928000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,2]]},"references-count":11,"alternative-id":["10.1136\/bcr-2014-204037"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204037","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,2]]}}}