289 results match your criteria: "Acute Bacterial Prostatitis and Prostatic Abscess"
Multimodal Therapy in Multidrug-Resistant Prostatitis: A Case Report and Review of the Literature.
Cureus
November 2024
Urology, Division of Clinical Surgical Sciences, University of the West Indies, Saint Augustine, TTO.
Chronic bacterial prostatitis is generally difficult to treat. It may involve multiple courses of antibiotics and may be difficult to eradicate with high rates of recurrence. We present the case of a 33-year-old male patient with a previous history of renal tract calculi, stent insertions, and perinephric abscess with percutaneous drainage, which then led to a right nephrectomy.
View Article and Find Full Text PDFTransperineal Drainage of Seminal Vesicle Abscess Under Local Anaesthetic: A Case Report.
Res Rep Urol
December 2024
Urology Department, Tauranga Hospital, Tauranga, New Zealand.
A 44-year-old healthy Caucasian gentleman presented with fevers and right lower quadrant pain. He had mildly elevated inflammatory markers and computed tomography demonstrated cystic enlargement of the right seminal vesicle concerning for seminal vesicle abscess (SVA). SVA is a rare diagnosis and generally requires drainage for adequate source control.
View Article and Find Full Text PDFA rare case report of severe prostate abscess treated with artificial intelligence-assisted mpMRI-TRUS real-time-guided puncture drainage.
SAGE Open Med Case Rep
November 2024
Department of Urology, The First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha, Hunan, China.
A prostate abscess is a rare complication of prostatitis, typically observed in patients with conditions such as immunodeficiency, diabetes, urinary tract abnormalities, and chronic indwelling catheters. We present a 60-year-old patient, admitted to the hospital presenting progressively with dysuria for more than 1 year, accompanied by frequent urination, urgent pain, and urinary retention, intermittent fever for 20 days. A multi-parametric magnetic resonance imaging (mpMRI) scan of the abdomen/pelvis showed a prostatic abscess.
View Article and Find Full Text PDFGranulomatous prostatitis following Bacillus Calmette-Guérin therapy.
J Clin Imaging Sci
October 2024
Department of Radiology, Anatomy and Laboratory Medicine, West Virginia University, Morgantown, United States.
Article Synopsis
- - Granulomatous prostatitis (GP) is a rare type of chronic prostatitis, occurring in 0.65-1.5% of cases, and can show similar imaging characteristics to prostate cancer.
- - Key MRI features suggesting GP include low T2 signal, high diffusion-weighted imaging signals, and lesion enhancements post-contrast, particularly in cases with necrosis or abscesses.
- - A case study discusses a 70-year-old man with GP following treatment with intravesical bacillus Calmette-Guérin, highlighting the importance of biopsy for accurate diagnosis due to the imaging similarities with prostate adenocarcinoma.
Occurrence of liver abscess in patients with acute prostatitis.
Investig Clin Urol
September 2024
Department of Urology, Kyung Hee University College of Medicine, Seoul, Korea.
Article Synopsis
- The study investigates the rare occurrence of liver abscesses in patients diagnosed with acute prostatitis, analyzing data from 474 cases over 16 years.
- Out of these, 15 patients (5.5%) were found to have liver abscesses, and these patients tended to be younger and had a higher prevalence of diabetes compared to those without liver abscesses.
- The findings suggest that when acute prostatitis patients show abnormal liver function tests and specific pathogens, there should be a thorough assessment for potential infections in the liver.
Febrile Immunocompromised Renal Transplant Recipient with Allograft Dysfunction: Detection of an Undiagnosed Prostate Abscess by [ F]FDG-PET/CT along with Treatment Response Monitoring.
World J Nucl Med
September 2024
Radiation Medicine Centre, Bhabha Atomic Research Centre, Tata Memorial Hospital Annexe, Parel, Mumbai, Maharashtra, India.
Article Synopsis
- The report details the clinical journey of a 35-year-old male kidney transplant patient suffering from post-transplant fever and suspected acute-on-chronic graft dysfunction with no clear infectious source identified through various diagnostic tests.
- Initial treatments included antibiotics for persistent symptoms, leading to emergency hospitalization due to acute urinary retention, high creatinine levels, and proteinuria.
- Further imaging with [F]FDG-PET/CT revealed prostatitis and abscess complications, but despite improvement in symptoms after treatment, the patient ultimately experienced worsened graft function and required dialysis after eight months.*
Fluoroquinolone resistance and clinical characteristics of acute bacterial prostatitis in Japan: A multicenter study by the Japanese research group for urinary tract infection.
J Infect Chemother
August 2024
Department of Urology, Hyogo College of Medicine, Hyogo, JRGU, Japan.
Article Synopsis
- - The study focused on identifying risk factors for fluoroquinolone (FQ) resistance and understanding the clinical features of acute bacterial prostatitis (ABP) in Japan, involving 124 patients across 13 medical centers during 2017.
- - Key findings indicated that severe dysuria, urinary retention, and transrectal prostate biopsy (TRBx) were common medical conditions for patients, with Escherichia coli being the most prevalent organism, and notable resistance to FQ antibiotic treatment was found in 33% of cases.
- - The research concluded that patients with a history of TRBx and those admitted to the hospital had significantly higher rates of FQ-resistant bacteria, emphasizing the need for specific management strategies for ABP cases
Lethal septic pulmonary thromboembolism in a repatriated body - a rare complication of prolonged urinary catheterization.
Med Sci Law
January 2025
Forensic Science SA, The University of Adelaide, Adelaide, South Australia, Australia.
Article Synopsis
- A 51-year-old man developed septic pulmonary thromboembolism due to thrombophlebitis of the prostatic venous plexus linked to long-term urinary catheter use.
- A re-examination revealed chronic prostatitis, severe thrombophlebitis, abscesses, and signs of bacterial overgrowth, contradicting an earlier autopsy conclusion.
- The findings highlight the importance of thoroughly examining the prostatic venous plexus during autopsies and the potential complications when re-evaluating repatriated remains.
Acute Bacterial Prostatitis in a 12-Year-Old Boy Without Any Underlying Disease.
Cureus
May 2024
Pediatrics, Anjo Kosei Hospital, Aichi, JPN.
Article Synopsis
- Acute bacterial prostatitis (ABP) is rare in children but can occur, as shown in a case involving a previously healthy 12-year-old boy with a prolonged fever and malaise.
- The boy was diagnosed with ABP after imaging revealed an enlarged prostate and possible abscesses, despite initial negative urine cultures.
- The successful treatment included 10 weeks of targeted antimicrobial therapy, highlighting the importance of imaging in diagnosing fever causes and the potential complications of premature antibiotic use.
Thyroid abscess, an uncommon diagnosis: A case report and mini‑review of the literature.
Med Int (Lond)
April 2024
Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain.
Article Synopsis
- Thyroid abscesses are rare but can occur in patients with weakened immune systems or existing thyroid issues; early diagnosis and treatment with antibiotics and abscess drainage is essential.
- A case study highlights a 48-year-old healthy male who developed a thyroid abscess after recent acute prostatitis treatment, presenting with neck pain and swelling that blocked airway movement.
- After confirming the abscess with imaging, the patient underwent an emergency hemithyroidectomy, resulting in a successful recovery without complications like voice changes or recurrence.
Article Synopsis
- The study analyzes the timing and methods for treating prostatic abscesses (PAs) in 18 patients treated between February 2017 and July 2022.
- It found that 14 out of 17 patients who underwent transrectal ultrasound (TRUS)-guided aspiration had complete resolution, while one patient recovered after a spontaneous rupture.
- For recurrent cases, transurethral (TU) de-roofing was effective and could be recommended as a primary treatment for certain types of PAs to reduce treatment duration and costs.
The harmful effects of overlooking acute bacterial prostatitis.
Int J Urol
May 2024
Department of Urology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
Article Synopsis
- * Recognizing and treating acute bacterial prostatitis (ABP) is crucial, as failure to do so can lead to ineffective treatments, potential surgery for abscesses, and chronic prostatitis requiring long-term antibiotics.
- * It's important to consider underlying conditions when diagnosing ABP, and a rectal exam along with urologist consultation is recommended for patients with unexplained fevers.
A pictorial review of genitourinary infections and inflammations.
Clin Imaging
December 2023
University of California, Los Angeles, United States.
Article Synopsis
- The paper reviews various infectious and inflammatory diseases affecting the genitourinary system, highlighting both common and rare conditions.
- It covers a wide range of diseases, including acute cystitis, pyelonephritis, and several more obscure infections and complications.
- Emphasis is placed on the importance for radiologists to recognize these conditions and their potential complications during evaluations.
[Diagnosis and treatment of prostatic abscess: Report of 11 cases and review of the literature].
Zhonghua Nan Ke Xue
October 2022
Department of Urology, The Third Medical Center of PLA General Hospital, Beijing 100853, China.
Article Synopsis
- The study analyzes prostatic abscess (PA), focusing on its clinical features, imaging traits, treatment options, and outcomes based on 11 cases treated at a hospital from 2016 to 2022.
- Most patients were middle-aged with comorbidities like diabetes and experienced symptoms such as dysuria; imaging techniques like CT and MRI were essential for diagnosis.
- The findings suggest that while some patients improved with antibiotics alone, those who underwent surgery (transurethral PA unroofing) showed better outcomes, highlighting the need for surgical intervention in certain cases.
An Interesting Case of Methicillin-Resistant Staphylococcus aureus Prostate Abscess in an Immunocompetent Patient.
Cureus
August 2023
Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA.
Article Synopsis
- * A case involving a 61-year-old man with MRSA prostate abscess is highlighted, presenting with nausea, vomiting, fever, and abdominal pain, confirmed by a CT scan and positive cultures.
- * Treatment included antibiotics and surgical procedures, emphasizing the importance of recognizing MRSA as a potential cause in cases of prostatitis that do not respond to standard treatment.
Article Synopsis
- - The report describes a rare case of a 36-year-old male who developed bacterial abscess-forming prostatitis while being treated with adalimumab for hidradenitis suppurativa, presenting with anogenital pain and dysuria.
- - Initial treatment included antibiotics after suspicion of acute prostatitis; however, further imaging revealed a complex abscess linked to the prostate, leading to the need for drainage and intensive antibiotic therapy.
- - The case underscores the importance of monitoring for adverse effects from immunomodulating drugs and suggests that physicians should remain vigilant and prompt in their diagnostic approach to similar uncommon presentations.
Prostate Cancer and Its Mimics-A Pictorial Review.
Cancers (Basel)
July 2023
Second Department of Radiology, Medical University of Gdańsk, 80-214 Gdańsk, Poland.
Article Synopsis
- Multiparametric prostate MRI (mpMRI) is increasingly recommended for diagnosing and monitoring prostate cancer, but it can produce false positives and negatives due to overlapping anatomical structures and benign conditions.
- This review highlights common misinterpretations, including normal anatomical features and benign issues like benign prostatic hyperplasia (BPH) that may mimic cancer signs.
- The authors emphasize the importance of recognizing these pitfalls and ensuring high-quality imaging to enhance diagnostic accuracy for radiologists.
[Visualisation of the ejaculatory tract in a patient with empyema of the seminal vesicles].
Ned Tijdschr Geneeskd
March 2023
Viecuri Medisch Centrum, afd. Urologie, Venlo.
Article Synopsis
- A 26-year-old mentally disabled male presented with fever, behavioral changes, and high infection markers, leading to the discovery of prostatitis on a CT scan.
- Transrectal ultrasound revealed dilated seminal vesicles, and pus was drained from the ejaculatory ducts, confirming an acute infection.
- The case highlights that acute bacterial prostatitis should be considered in patients with fever and no clear source, especially when symptoms persist despite antibiotic treatment.
A rare case of disseminated genitourinary tract tuberculosis complicated by emphysematous prostatitis and seminal vesicle abscess.
BJR Case Rep
February 2023
Department of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Article Synopsis
- * Modern imaging techniques, such as ultrasound and CT scans, are crucial for diagnosing UGTB, especially as it can resemble other serious conditions like cancer, particularly in developed countries.
- * A specific case of emphysematous tuberculous prostatitis—an uncommon type of prostate infection causing gas formation—highlights the importance of microbiological diagnosis to confirm UGTB, as it's typically not well recognized in clinical practice.
Scrotal abscess as an unusual presentation of blastomycosis.
Can J Urol
February 2023
Division of Urology, Cook County Health, Chicago, Illinois, USA.
Blastomyces dermatitidis is an environmental fungus endemic to parts of Eastern North America that notably causes pulmonary infection in humans and other animals with the potential for extrapulmonary spread, particularly in immunocompromised hosts. However, it rarely presents with genitourinary (GU) tract involvement. Herein, we present a unique case of a 37-year-old immunocompetent male with genitourinary blastomycosis with the initial presentation of a scrotal abscess.
View Article and Find Full Text PDFMultiple Prostatic Abscesses Caused by Staphylococcus aureus Without Physical Findings in an Immunosuppressed Older Patient.
Cureus
January 2023
Community Care, Unnan City Hospital, Unnan, JPN.
Article Synopsis
- The text discusses a case of prostatic abscesses linked to bacteremia, a serious condition with a high mortality rate.
- The patient, a 72-year-old man, presented with vague symptoms due to diabetes-related methicillin-sensitive bacteremia.
- It emphasizes the need for thorough evaluations of symptoms in immunocompromised patients and suggests that general physicians should have specialized knowledge to handle such complex cases.
A Rare Case of a Prostatic Abscess Secondary to a Mycoplasma hominis Infection.
Cureus
November 2022
Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, DEU.
Article Synopsis
- Mycoplasma hominis can cause prostatitis, potentially leading to a rare condition called a prostatic abscess, as seen in a 57-year-old male patient who exhibited urinary symptoms and fever.
- Initial treatments with antibiotics showed no bacterial growth, but further tests revealed the presence of Mycoplasma hominis, leading to the diagnosis of a prostate abscess.
- The patient underwent transurethral drainage and experienced symptom relief, with follow-up tests six months later confirming the absence of the infection.
Benign prostatic hyperplasia in the dog.
Anim Reprod Sci
December 2022
Department of Veterinary Medical Sciences, University of Bologna, Via Tolara di Sopra 50, Ozzano dell'Emilia, 40064 Bologna, Italy.
Article Synopsis
- Prostatic diseases are common in dogs, especially breeding dogs, as they can negatively impact semen quality and fertility.
- The most prevalent prostatic condition is benign prostatic hyperplasia (BPH), a non-cancerous enlargement associated with aging; however, other conditions like prostatitis and prostate neoplasia can also occur.
- Treatment for BPH varies and is often recommended when dogs show symptoms, but many remain asymptomatic; alternative therapies can help maintain fertility without resorting to castration.