{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:03:14Z","timestamp":1777892594481,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"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":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Intra-vesical Bacillus Calmette-Gu\u00e9rin (BCG) immunotherapy is an effective treatment for high-risk bladder cancer. Less well known is that fewer than 1% of patients receiving BCG treatment can develop disseminated BCG. The reaction can range from a mild flu-like illness to a systemic disorder with a fulminant course which in the most severe cases can lead to death. The diagnostic yield is low and diagnosis is often made after a comprehensive exclusion of more common causes of pyrexia of unknown origin. A high level of suspicion is therefore required in those who may be at risk. We report a case of disseminated BCG in an older patient for whom early involvement of his family was pertinent to determining the precipitant for delirium.<\/jats:p>","DOI":"10.4997\/jrcpe.2020.215","type":"journal-article","created":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T10:27:56Z","timestamp":1592476076000},"page":"152-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Disseminated Bacillus Calmette-Gu\u00c9Rin (Bcg): A Cause of Delirium in An Older Adult"],"prefix":"10.1177","volume":"50","author":[{"given":"John","family":"Headlam","sequence":"first","affiliation":[{"name":"Geriatric Registrars, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Geriatric Registrars, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Yuen","sequence":"additional","affiliation":[{"name":"Urology Registrar, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Brierley","sequence":"additional","affiliation":[{"name":"Consultant Geriatrician, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Todd","sequence":"additional","affiliation":[{"name":"Research Fellow, Academic Unit for Ageing and Stroke Research, University of Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"bibr1-jrcpe.2020.215","first-page":"97","volume":"9","author":"Pearl R","year":"1929","journal-title":"Am J Hyg"},{"key":"bibr2-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)58737-6"},{"key":"bibr3-jrcpe.2020.215","volume-title":"Bladder cancer: diagnosis and managmement","author":"NICE Guideline","year":"2015"},{"key":"bibr4-jrcpe.2020.215","first-page":"65","volume":"7","author":"Fuge O","year":"2015","journal-title":"Res Rep Urol"},{"key":"bibr5-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199809173391209"},{"key":"bibr6-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/362845"},{"key":"bibr7-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37316-0"},{"key":"bibr8-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1086\/344908"},{"key":"bibr9-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000119"},{"key":"bibr10-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38019-9"},{"key":"bibr11-jrcpe.2020.215","doi-asserted-by":"publisher","DOI":"10.1136\/gut.38.4.616"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2020.215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2020.215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:32:55Z","timestamp":1777617175000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2020.215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.4997\/jrcpe.2020.215"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2020.215","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}