{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:52:18Z","timestamp":1773316338721,"version":"3.50.1"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Intravesical Bacillus Calmette\u2013Gu\u00e9rin (BCG) therapy is a mainstay for non-muscle invasive bladder cancer, but may rarely cause disseminated infection. We describe a 71-year-old man who developed fever, respiratory failure, and hepatomegaly 1\u00a0week after completing maintenance intravesical BCG instillations. Examination revealed multiple erythematous-violaceous papules on the glans penis. Biopsies of both skin and liver showed granulomatous inflammation with focal necrosis; Ziehl-Neelsen, PAS, and Grocott stains, culture, and PCR for Mycobacterium tuberculosis complex were negative. These findings supported a diagnosis of disseminated BCGitis with cutaneous penile involvement. Anti-tuberculous therapy with rifampicin, isoniazid, and ethambutol led to full systemic and cutaneous improvement. Penile involvement in BCGitis is exceedingly uncommon, and microbiologic confirmation is often lacking due to low sensitivity. Awareness of this entity is essential, as early recognition and prompt therapy can prevent severe systemic complications and improve outcomes in patients recently exposed to intravesical BCG.<\/jats:p>","DOI":"10.1177\/09564624251407475","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T08:12:02Z","timestamp":1765181522000},"page":"444-446","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Infiltrated penile papules as a cutaneous manifestation of disseminated BCGitis: A rare dermatologic presentation"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-7263","authenticated-orcid":false,"given":"Carlos M.","family":"Nogueira","sequence":"first","affiliation":[{"name":"Unidade Local de Sa\u00fade de Braga"}]},{"given":"Carolina","family":"Machado","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o"}]},{"given":"Rafael Baptista","family":"Santos","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o"}]},{"given":"Ana Sofia","family":"Faustino","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o"}]},{"given":"Filipa","family":"Ceia","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o"}]},{"given":"Cec\u00edlia","family":"Pinto","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o"}]},{"given":"Carmen","family":"Lisboa","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o"},{"name":"Faculdade de Medicina da Universidade do Porto"}]}],"member":"179","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.23736\/S2724-6051.24.05910-X"},{"issue":"6","key":"e_1_3_5_3_2","first-page":"377","article-title":"BCG infection of the glans penis after intravesical BCG therapy","volume":"18","author":"Michelet N","year":"2008","unstructured":"Michelet N, Spenatto N, Viraben R, et al. BCG infection of the glans penis after intravesical BCG therapy. Prog Urol. 2008; 18(6): 377\u2013380.","journal-title":"Prog Urol"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1995.tb05034.x"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2021\/50933.15511"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.07.041"},{"issue":"1","key":"e_1_3_5_7_2","first-page":"64","article-title":"Penile tuberculosis following intravesical Bacille Calmette-Gu\u00e9rin immunotherapy","volume":"29","author":"Chowdhury AR","year":"2013","unstructured":"Chowdhury AR, Dey RK. Penile tuberculosis following intravesical Bacille Calmette-Gu\u00e9rin immunotherapy. Can Urol Assoc J 2013; 29(1): 64\u201366.","journal-title":"Can Urol Assoc J"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2006.01553.x"},{"issue":"5","key":"e_1_3_5_9_2","first-page":"4866","article-title":"Cutaneous BCG of the penis after intravesical therapy for bladder cancer: a case report in a 66-year-old male","volume":"16","author":"Hillyer S","year":"2009","unstructured":"Hillyer S, Gulmi F. Cutaneous BCG of the penis after intravesical therapy for bladder cancer: a case report in a 66-year-old male. Can J Urol. 2009; 16(5): 4866\u20134869.","journal-title":"Can J Urol"},{"key":"e_1_3_5_10_2","first-page":"36","article-title":"Caseating granulomas on the glans penis as a complication of BCG intravesical therapy","volume":"31","author":"French CG","year":"2001","unstructured":"French CG, Hickey L, Bell DG. Caseating granulomas on the glans penis as a complication of BCG intravesical therapy. 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