Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Choosing Your MedsChoosing Your Meds
         
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Safety of BCG for treatment of superficial bladder cancer

Dec 1, 2013

Hi. My name is Edgardo Bottaro. I work with HIV-infected patients in Buenos Aires, Argentina. Recently I received an HIV-infected patient with superficial bladder cancer. He is under HAART, with a suppressed VL and a CD4 count >700 cells/mm3. The urologist asked my opinion about instillation with BCG for treatment of his tumor. I was surprised!! I have not experience with that therapy. After reading, I learned about side effects in HIV-uninfected people; the literature involving HIV-infected patients is scarce. I think (... the urologist thinks...) BCG is the best option, do you think isoniazide prophylaxis may be useful for reducing the chance of sistemic side effects? Would you use isoniazide in this situation? Thank you for your answer. Edgardo

Response from Dr. Young

Hello Dr. Bottaro and thanks for your post and interesting question.

Since your patient is on ART and has an undetectable and normal CD4 count, I'd imagine that his risks of disseminated BCG infection would be relatively low. INH treatment probably would be contraindicated during the time around the cancer treatment, but I'd wonder if there would be any downside for INH preventive treatment afterwards.

Please let us know what the decision is. BY



Previous
Am I losing my mind?
Next
Aging with HIV, Living Through the Nightmare

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement