Extensive Prostatic Abscess in an Elderly Patient Requiring Multidisciplinary Drainage
المؤلفون المشاركون
Nesemann, John Michael
Huen, Kathy
Bergman, Jonathan
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-08
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Prostatic abscess is rare and mainly affects immunocompromised individuals, classically presenting with both systemic and lower urinary tract symptoms.
Our case is unique as the patient presented with an exceptionally long duration of symptoms prior to seeing a health-care provider, had no systemic symptoms, and was managed via a multidisciplinary approach.
Case Presentation.
We present a case of a 70-year-old man with type-two diabetes who endured two months of lower urinary tract symptoms and constipation without systemic symptoms prior to seeking medical attention.
He had a positive urinalysis and culture and was initially thought to have a urinary tract infection; however, computed tomography scan revealed a large, complex, and multiloculated prostatic abscess.
Multidisciplinary drainage of the abscess was performed by interventional radiology and urology.
A postoperative Foley catheter was left in place, and the patient recovered without complications.
Discussion.
Prostatic abscess is uncommon and presents almost exclusively in patients with immunocompromising conditions such as diabetes.
Prior to the advent of antibiotics, the major causes were gonorrheal and Staphylococcus aureus infections, but with the advent of antibiotics, microbial culprits have shifted to gram-negative organisms.
Patients typically present with lower urinary tract symptoms, perineal or lower back pain, and systemic symptoms.
Management often consists of intravenous antibiotics and surgical drainage either by transrectal ultrasound-guided needle aspiration, or transurethral deroofing of the prostate.
Our case highlights the following: (a) the importance of a high index of suspicion for a prostatic abscess in an immunocompromised patient with persistent leukocytosis and perineal pain after treatment with antibiotics and (b) the potential for an early multidisciplinary approach to draining extensive, loculated prostatic abscesses.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Nesemann, John Michael& Huen, Kathy& Bergman, Jonathan. 2020. Extensive Prostatic Abscess in an Elderly Patient Requiring Multidisciplinary Drainage. Case Reports in Urology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1151775
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Nesemann, John Michael…[et al.]. Extensive Prostatic Abscess in an Elderly Patient Requiring Multidisciplinary Drainage. Case Reports in Urology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1151775
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Nesemann, John Michael& Huen, Kathy& Bergman, Jonathan. Extensive Prostatic Abscess in an Elderly Patient Requiring Multidisciplinary Drainage. Case Reports in Urology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1151775
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1151775
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر