Cases reported "Prostatic Diseases"

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1/50. Cryptococcal prostatic abscess in an immunocompromised patient: a case report and review of the literature.

    A case of cryptococcal prostatic abscess in a 65-year-old Chinese man with immunosuppression from treatment of myasthenia gravis is presented. The patient was diagnosed to have cryptococcaemia when he presented with fever and urinary symptoms. Further investigations confirmed cryptococcal meningitis and imaging studies showed a hypodense lesion in the prostate. This proved to be an abscess and it was deroofed transurethrally. histology of the prostatic tissue revealed the presence of cryptococcus. The prostate can be a site of persistent cryptococcal infection and may take the form of an abscess. It should be drained transurethrally to prevent relapse.
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keywords = abscess
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2/50. Management of prostatic fistulas.

    Prostatic fistulas communicating with the rectum or perineal skin are unusual complications of a prostatic operation, pelvic trauma, prostatic abscess or other iatrogenic injury. A third of these fistulas may close spontaneously with proper urinary drainage and avoidance of fecal soilage. The many operative procedures described for the repair of these fistulas indicate that no ideal method of repair can be applied to every case. Operative management should be mandated by the size, location and duration of the fistula as well as by the surgeon's experience with the various anatomic approaches.
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ranking = 0.14285714285714
keywords = abscess
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3/50. A case of rectoprostatic fistula due to prostatic abscess visualized by barium enema.

    We report a rare case of rectoprostatic fistula due to spontaneous rupture of a prostatic abscess in a patient with diabetes mellitus. barium enema clearly showed rectoprostatic fistula. barium enema and colonoscopy were very useful in demonstrating the rectoprostatic fistula.
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ranking = 0.71428571428571
keywords = abscess
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4/50. Endogenous klebsiella pneumoniae endophthalmitis associated with prostate abscess: case report.

    A young alcoholic and heavy smoker was admitted because of klebsiella pneumoniae bacteremia. The abdominal and pelvic computed tomography with enhancement revealed an abscess in the right prostate. He experienced blurred vision of his left eye on the third day during admission. Initial ocular examination revealed mild reaction in the anterior chamber and vitreous as well as multiple Roth's spots in the retina. The administration of empirical antibiotics including cefazolin and gentamicin intravenously was changed to ceftriaxone and amikacin after ophthalmologic consultation. After parenteral antibiotics for 3 weeks, the systemic condition was controlled, and the vision remained stable. During the past decades, many cases of endogenous klebsiella pneumoniae endophthalmitis associated with liver abscess were reported in taiwan. However, documented reports of this condition associated with a prostate abscess are rare. This case, classified as posterior focal endogenous endophthalmitis, had good prognosis under appropriate antibiotic treatment. early diagnosis and prompt therapy are important for control of sepsis and restoration of vision.
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keywords = abscess
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5/50. Prostatic abscess in the newborn: an unrecognized source of urosepsis.

    We present a 10-day-old boy who developed fulminant urosepsis. At autopsy, he was found to have a prostatic abscess as his sole source of infection. 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.
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ranking = 0.85714285714286
keywords = abscess
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6/50. Clinics in diagnostic imaging (57). Melioidotic prostatic abscess.

    A 46-year-old previously healthy man presented with urosepsis and lower urinary tract obstruction. Both urine and blood cultures grew burkholderia pseudomallei. Intravenous ceftazidime failed to control the infection. Prostatic abscess formation was first detected by transrectal ultrasonography, and the extent was subsequently delineated by computed tomography. The abscess was drained by transurethral resection, which served to eradicate a possible persistent focus of infection. The diagnosis and management of prostatic abscess, and melioidosis infection, are discussed.
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keywords = abscess
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7/50. Prostatic malacoplakia associated with prostatic abscess: diagnosis and treatment.

    Prostatic malacoplakia associated with prostatic abscess is an extremely rare disease. We present a case of prostatic malacoplakia presenting as a prostatic and seminal vesicle abscess in a patient with diabetes. The diagnosis and management are discussed, and the literature is reviewed.
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ranking = 0.85714285714286
keywords = abscess
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8/50. Prostatic abscess in young males: a rare complication of Crohn's disease.

    We report a rare case of prostatic abscess with Crohn's disease in a 21-year-old male. Computed tomography showed a typical prostatic abscess. Moreover, filling of the abscess cavities with contrast medium was demonstrated after micturition, which represented the rupturing of the abscess into the urethra. Crohn's disease should be included in the differential diagnosis of prostatic abscesses even in young males.
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ranking = 1.2857142857143
keywords = abscess
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9/50. Prostatic abscess due to Candida with no systemic manifestations.

    Prostatic abscess due to fungi is a rare condition. It is generally secondary to systemic disease in immunosuppressed patients. It usually occurs with affection of other organs in a septic patient. Only in exceptional cases does it occur isolatedly. We present the case of a prostatic abscess due to candida albicans with no systemic manifestations. The diagnosis is helped by transrectal ultrasound, which allows to differentiate this condition from nonabscessed acute prostatitis. The treatment of choice is ultrasound-guided transrectal needle aspiration after antibiotic therapy has been started. As with abscesses of bacterial origin, an ultrasonographic follow-up is required due to the possibility of persistence or recurrence.
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ranking = 1.1428571428571
keywords = abscess
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10/50. Diverticular abscess presenting as prostate abscess and missed by abdominal CT scan.

    This is a case report of sigmoid diverticular abscess presenting as prostate abscess. Helical computed tomography (CT) scan revealed the prostate abscess but failed to demonstrate the underlying diverticular abscess. Colonic diverticular abscess can have many unusual presentations, and multiple imaging modalities may be required to reveal the underlying pathology. Abdominal CT scan is not always a definitive and absolute imaging modality for abdominal pain evaluation and cannot supplant clinical judgment in the evaluation of confusing cases.
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ranking = 1.8571428571429
keywords = abscess
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