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Prostatic Abscess

Prostate Abscess


Presentation

  • However, melioidosis presenting primarily as prostatic abscesses is very rare.[ncbi.nlm.nih.gov]
  • We reviewed the 12 previous reported cases of prostatic abscess in newborns and present factors that may suggest the diagnosis. The treatment and outcome in each of the cases are also presented.[ncbi.nlm.nih.gov]
  • We report here a case of prostatic abscess in a 50-year-old known diabetic male patient, who presented with urinary retention. Clinical diagnosis was done by clinical presentation and ultrasonography.[ncbi.nlm.nih.gov]
  • Type III - PA is present in both glandular lobes form of multifocal areas ( 10 mm). Type IV - PA is present in both glandular lobes form of multifocal areas ( 10 mm).[ncbi.nlm.nih.gov]
  • [Article in English, Spanish] Author information 1 Urology Department, Hospital Universitario Son Dureta, Palma de Mallorca, Spain. [email protected] Abstract OBJECTIVE: To present the case and iconography of a rectoprostatic fistula as a form of presentation[ncbi.nlm.nih.gov]
Chills
  • CASE PRESENTATION: We report the case of a 49-year-old Japanese man who developed fever and shaking chills during hospitalization for STEMI. We initially diagnosed catheter-associated urinary tract infection.[ncbi.nlm.nih.gov]
  • Fourteen (82%) of the 17 patients were febrile, with chills occurring in about a half of these. Of the symptoms and signs referable to the lower urinary tract, dysuria (71%) was the most common complaint.[ncbi.nlm.nih.gov]
  • He denied any fever, chills or dysuria.[pubs.sciepub.com]
  • The patients presented with clinical symptoms of dysuria, high fever with chills and rigors, perineal pain, urethral discharge and severe tenderness with or without fluctuation on digital rectal examination.[sjkdt.org]
  • This patient, with a history of diabetes and hypertension, presented with fever, urinary urgency, chills and fatigue.[ijcasereportsandimages.com]
Perineal Pain
  • Diagnosis Prostate ultrasonography and possibly cystoscopy Abscess is suspected in patients with persistent perineal pain and continued or recurrent UTIs despite antimicrobial therapy.[merckmanuals.com]
  • After treatment, the perineal pain and fever subsided in all the cases.[sjkdt.org]
  • The first reported case of CA-MRSA was a patient with a history of intravenous drug abuse (IVDA) and hepatitis C who presented with dysuria, tender prostate, perineal pain, slow urinary stream, and urinary hesitancy. [5] The second reported case was a[ijcasereportsandimages.com]
  • pain Lower Urinary Tract Symptoms: Urinary frequency and urgency Dysuria Weak urinary stream and urinary retention Rectal Examination Painful prostate exam: prostate of soft consistency, possibly with fluctuation as a sign of a prostate abscess.[urology-textbook.com]
  • The most common symptoms of the disease include: dysuria, frequency, perineal pain, fever, chills, and low back pain [4],[5].[webmedcentral.com]
Recurrent Urinary Tract Infection
  • The authors report a case of a 51-year-old man with insulin-dependent diabetes mellitus and recurrent urinary tract infections who was diagnosed with prostatic abscess.[urotoday.com]
  • For about three months prior to his admission he had been taking antibiotics prescribed by his general practitioner for a presumed diagnosis of recurrent urinary tract infection.[webmedcentral.com]
Suprapubic Pain
  • Commonly patients complain of dysuria, fever, suprapubic pain, and possibly urinary retention. Urinalysis reveals leukocytes. Clinically the condition can be similar to acute bacterial prostatitis without abscess formation 8 .[radiopaedia.org]
  • pain. [7] The fourth reported case was a patient with HIV who presented with fever, urinary hesitancy, and intermittent abdominal pain that was relieved following urination. [8] Another case of CA-MRSA prostatitis has been reported by Beckman et al.[ijcasereportsandimages.com]
  • Definition of Acute Prostatitis Acute bacterial prostatitis is characterized by sudden fever, perineal and suprapubic pain and voiding symptoms . The urine analysis reveals a urinary tract infection .[urology-textbook.com]
Abdominal Pain
  • Case Report A 50-years-old construction worker with a history of poorly controlled diabetes presented with cough, fever, weight loss, malaise, and diffuse abdominal pain of two weeks duration.[ijcasereportsandimages.com]
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
Dysuria
  • A previously healthy diabetic man presented with dysuria, fatigue, weight loss, a tender prostate, and leukocytosis. Computerized tomography of the abdomen and pelvis demonstrated a large prostatic abscess at the base of the bladder.[ncbi.nlm.nih.gov]
  • In this case report (a 68-year-old patient) prostatic abscess presents non specific symptoms: dysuria, supra-pubic pain, urinary frequency, fever 36.0 C (96.8 F).[ncbi.nlm.nih.gov]
  • Of the symptoms and signs referable to the lower urinary tract, dysuria (71%) was the most common complaint. Pain was usually localized in the suprapubic (35%) or perineal (18%) area.[ncbi.nlm.nih.gov]
  • […] diabetic patient who presented with dysuria, fatigue, weight loss, and a tender prostate. [6] The third reported case was a patient with human immunodeficiency virus (HIV) and AIDS who presented with fever, dysuria, and suprapubic pain. [7] The fourth[ijcasereportsandimages.com]
  • On admission he complained of severe dysuria and high fever lasting 10 days after antibiotic treatment for urinary tract infection. On rectal examination the prostate was enlarged and very tender.[ncbi.nlm.nih.gov]
Prostatic Disease
  • Since prostatic abscess may not be differentiated from other prostatic disease on the basis of history and physical examination alone, CT can contribute significantly to establishing this diagnosis.[ncbi.nlm.nih.gov]
  • But these abscesses are probably underdiagnosed and their true incidence might emerge if trans-rectal ultrasonography is to become routine in the assessment of prostatic disease in males.[ispub.com]
Pelvic Pain
Urinary Urgency
  • This patient, with a history of diabetes and hypertension, presented with fever, urinary urgency, chills and fatigue.[ijcasereportsandimages.com]
  • With regard to presentation, the disease manifests as dysuria, urinary urgency and frequency in 96% of cases [10], fever in 30% to 72% [2], [3], [10]and urinary retention in a third of patients [2], [3].[webmedcentral.com]
Urinary Hesitancy
  • The first reported case of CA-MRSA was a patient with a history of intravenous drug abuse (IVDA) and hepatitis C who presented with dysuria, tender prostate, perineal pain, slow urinary stream, and urinary hesitancy. [5] The second reported case was a[ijcasereportsandimages.com]

Workup

  • Diagnostic workup included analysis of midstream urine and abscess fluid for leukocytes and pathogens. Therapeutic options were conservative treatment and/or draining procedures. RESULTS: Predisposing diseases were found in 13 men.[ncbi.nlm.nih.gov]
  • Diagnostic workup included TRUS, analysis of midstream urine, and analysis and culture of abscess fluid for leukocytes and pathogens.[ncbi.nlm.nih.gov]
  • The authors discuss the diagnosis, workup, and management. From the *Internal Medicine Department and †Infectious Diseases, Scripps Mercy Hospital; and ‡Naval Medical Center San Diego, San Diego, CA.[journals.lww.com]
  • The diagnostic workup included analysis of midstream urine and abscess fluid culture for pathogens. Therapeutic options included endoscopic trans-urethral incision or trans-perineal aspiration under ultrasound guidance, or conservative therapy.[sjkdt.org]
Prostatic Lesion
  • Our patient developed fever and his antibiotics were changed to IV Vancomycin and a repeat urinary culture and CT scan abdomen/pelvis were obtained, which revealed increase in the size of the prostate lesion and urine culture remained positive for MRSA[pubs.sciepub.com]
ST Elevation
  • BACKGROUND: In patients with ST-elevation myocardial infarction (STEMI), urinary tract infection is the most common infection-related complication. Prostatic abscess in a patient with STEMI is very rare.[ncbi.nlm.nih.gov]

Treatment

  • TRUS guided needle aspiration treatment of PA was successful in five of six patients (83.3%). In one patient treatment failed and the abscess recurred 3 weeks after the procedure.[ncbi.nlm.nih.gov]
  • All patients received antibiotic treatment. Nine men with monofocal abscess less than 1 cm in diameter were treated with antibiotic therapy and a suprapubic catheter.[ncbi.nlm.nih.gov]
  • In first time, a conservative treatment with antifungal treatment and transrectal ultrasound-guided drainage was performed without success. Transurethral resection was required for drainage with a favourable course.[ncbi.nlm.nih.gov]
  • However, successful treatment of prostatic abscess with transrectal needle aspiration was done in 12 (86.0%) of 14 patients; the treatment failed in 2 (14.0%) of 14 patients.[ncbi.nlm.nih.gov]
  • The definitive treatment also included percutaneous transperineal drainage and placement of a 8 Fr pig-tail drain under TRUS. Subsequent surgical treatment of the penis showed low grade superficial squamous cell carcinoma.[ncbi.nlm.nih.gov]

Prognosis

  • The patient was discharged 48 h after the puncture with a good prognosis.[ncbi.nlm.nih.gov]
  • Emphysematous prostatic abscess due to Klebsiella pneumoniae may have a poor prognosis according to a few previous reports.[ncbi.nlm.nih.gov]
  • Prognosis - Prostatic malacoplakia associated with prostatic abscess Not supplied.[checkorphan.org]
  • DWI limited studies only 2 tends to show restriction of diffusion corresponding to hypoechoic lesions on ultrasound ADC limited studies only 2 mean ADC values within the abscesses have been reported to be very low Treatment and prognosis Percutaneous[radiopaedia.org]
  • With appropriate treatment, the prognosis of acute prostatitis with and without abscess would not differ.” The investigators noted that prostatic abscesses often are found in patients who do not improve with initial therapy.[renalandurologynews.com]

Etiology

  • He received an empirical antibiotic and antiviral agent intravenously followed by oral prednisolone until the etiology was identified; however, intraocular inflammation in the left eye continued to worsen, followed by the development of subretinal abscess[ncbi.nlm.nih.gov]
  • PURPOSE: To compare the clinical presentation of prostatic abscess and treatment outcome in two different time frames with regards to etiologies, co-morbid factors and the impact of multidrug resistant organism.[ncbi.nlm.nih.gov]
  • […] prostatitis and chronic pelvic pain syndrome, evidence behind individual therapies and ancillary topics such as erectile dysfunction, infertility, the link between chronic prostatitis and prostate cancer, male interstitial cystitis and the potential etiologic[books.google.com]
  • It is uncommon, and rarely diagnosed, and it has suffered a great shift in its mortality rate, and in the types of etiologic agents observed since the discovery and use of penicillin (1).[scielo.br]
  • Etiology of Acute Prostatitis Acute prostatitis is a bacterial infection of the prostate, caused by ascension of bacteria from the urinary tract, please see section urinary tract infection.[urology-textbook.com]

Epidemiology

  • The authors highlight the importance of considering epidemiological and clinical aspects in the early diagnosis and treatment.[ncbi.nlm.nih.gov]
  • PURPOSE: We review the epidemiology, clinical presentation, management and outcome of prostatic abscess secondary to Burkholderia pseudomallei infection in the Northern Territory, Australia.[ncbi.nlm.nih.gov]
  • In the last decade, epidemiologic studies have illustrated that MRSAinduced infections have changed from being primarily acquired in hospitals to also being acquired in the community [ 5 ] .[pubs.sciepub.com]
  • Various factors have influenced the shift of the epidemiological profile of prostatic abscess, such as routine and widespread use of broad-spectrum antibiotics to patients with lower urinary tract symptoms, without the investigation required (4); better[scielo.br]
  • "[Epidemiology and treatment of acute prostatitis after prostatic biopsy]". Prog. Urol. (in French). 17 (5): 960–3. doi : 10.1016/S1166-7087(07)92397-0 . PMID 17969797 . Goldman, Lee (2011). Goldman's Cecil Medicine (24th ed.).[en.wikipedia.org]
Sex distribution
Age distribution

Prevention

  • It should be drained transurethrally to prevent relapse.[ncbi.nlm.nih.gov]
  • Prevention - Prostatic malacoplakia associated with prostatic abscess Not supplied. Diagnosis - Prostatic malacoplakia associated with prostatic abscess Not supplied. Prognosis - Prostatic malacoplakia associated with prostatic abscess Not supplied.[checkorphan.org]
  • Although there is a theoretical possi bility of hematogenous dissemination of the causative organism during trans-urethral deroofing, the use of pre-operative broad-spectrum antibiotics helps in preventing the occurrence of septicemia. 1.[sjkdt.org]
  • If the initial clinical response to therapy is satisfactory and the pathogen is susceptible to the chosen antibiotic, treatment is continued orally (PO) for 30 days to prevent sequelae such as chronic bacterial prostatitis and prostatic abscess formation[emedicine.medscape.com]

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