This article describes the diagnosis and treatment of a patient with lumbar discitis and osteomyelitis caused by Bacillus Calmette-Guérin instillation therapy for treatment of superficial bladder cancer. Treatment of this rare condition consists of antituberculosis microbial therapy and one or more IV antibiotics to cover multidrug-resistant bacteria in the bone.
At the time this article was written, Cheryl L. Heck practiced neurosurgery at St. Agnes Hospital in Baltimore, Md. She now practices physical medicine and rehabilitation at Wellspring Clinic in Bel Air, Md. Gary T. Schwartzbauer practices trauma neurosurgery at the University of Maryland Medical Center's R Adams Cowley Shock Trauma Center in Baltimore. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Acknowledgments The authors would like to thank Sara Taherkhani, MD, and Robert Ross, MD, both in infectious disease at St. Agnes Hospital; Peter S. Filderman, MD, of Chesapeake Urology, St. Agnes Hospital; and Wendy Subasic, PA-C, of Chesapeake Urology, St. Agnes Hospital, for their assistance with this manuscript.