Notably, the patient did not wish to undergo cystectomy, and given his excellent prior response to BCG and significant time-lapse since his last treatment, a decision at multidisciplinary tumour boards was made to re-induce with full-dose intravesical BCG despite his previous BCG-induced Reiter syndrome.
Repeat induction with BCG following significant intolerance, especially BCG-induced Reiter syndrome, has not been previously described.
The investigators described the case of a 31-year-old man who had Cyclospora infection and was later diagnosed with Reiter syndrome
, which is characterized by ocular inflammation, inflammatory oligoarthritis, and sterile urethritis.
, a triad of ocular inflammation, inflammatory oligoarthritis, and sterile urethritis, has been associated with enteric infections.
Campylobacteriosis is also associated with Reiter syndrome
, a reactive arthropathy.