Case Presentation: A 76-year-old man with bladder cancer presented with severe back pain and radiculopathy after receiving treatment with a transurethral resection and subsequent intravesical BCG therapy. His lumbar MRI showed degenerative and morphological changes suggestive of an infection (Figure 1). He was treated with L1-L5 laminectomies and foraminotomies. 3 weeks later, repeat imaging showed [...]

Case Presentation: A 70-year-old man with a history of bladder cancer treated with intravesical Bacillus Calmette-Guerin (BCG) therapy presented with acute on chronic back pain. Six months prior, he presented with lower back pain, was diagnosed with culture negative bacterial osteomyelitis, and underwent an L3-L5 laminectomy. He was discharged with an empiric 6-week antibiotic course [...]

Case Presentation: An 86-year-old male with a past medical history of bladder cancer, status post Bacillus Calmette-Guerin (BCG) therapy 12 months prior, presented to the ED with three months of progressively worsening back pain and weight loss. He denied cough, fever, night sweats, dysuria, recent travel, history of farming, exposure to cattle, or consumption of [...]

Case Presentation: An 85-year-old gentleman who was started on intra-vesical BCG therapy for Tis staged bladder cancer presented to the hospital with excruciating asymmetric polyarticular joint pain.He previously completed induction therapy successfully, during which he had developed cystitis. Subsequently, the patient received 3 doses of maintenance therapy, and on day 5 after his last dose [...]

Case Presentation: A 69 year-old man with history of high-grade invasive urothelial bladder cancer post tumor resection on Bacillus Calmette-Guérin (BCG) treatment and renal cell carcinoma post left partial nephrectomy presented with high-grade fever, night sweats, rigors, and lower abdominal pain for 2 weeks. The last BCG instillation, of 11 total, was 17 days prior [...]