{
  "abstract": "Intravesical BCG instillations are first-line adjuvant treatment for non-muscle invasive bladder cancer. Infectious complications are typically limited to the genitourinary system but can infrequently affect distant organs due to haematogenous spread. We describe the case of an elderly man who presented with several months of malaise and hypotension and was diagnosed with disseminated BCG (BCGosis) with endocarditis and pericardial effusion resulting in cardiac tamponade. This case illustrates the potentially insidious presentation of BCGosis and challenges in diagnosis, highlighting the need for vigilance among clinicians treating these patients.",
  "authors": [
    {
      "affiliations": [
        "Department of Internal Medicine, Division of Infectious Diseases, NewYork-Presbyterian Weill Cornell Medical Center, New York, New York, USA"
      ],
      "name": "Catherine Cai"
    },
    {
      "affiliations": [
        "Department of Internal Medicine, Division of Cardiology, NewYork-Presbyterian Weill Cornell Medical Center, New York, USA"
      ],
      "name": "John Mancini"
    },
    {
      "affiliations": [
        "Department of Internal Medicine, NewYork-Presbyterian Weill Cornell Medical Center, New York, USA"
      ],
      "name": "Shu Zhang"
    },
    {
      "affiliations": [
        "Department of Pathology and Laboratory Medicine, NewYork-Presbyterian Weill Cornell Medical Center, New York, USA"
      ],
      "name": "Jonas Heymann"
    },
    {
      "affiliations": [
        "Department of Internal Medicine, Division of Infectious Diseases, NewYork-Presbyterian Weill Cornell Medical Center, New York, New York, USA"
      ],
      "name": "Anna Apostolopoulou"
    }
  ],
  "title": "Intravesical BCG for bladder cancer treatment complicated by disseminated BCG (BCGosis) with pericardial effusion and tamponade",
  "uid": "8b2c68d8-0f2b-5e54-bd5f-15732ea18fc6"
}