Prostatic abscess caused by Escherichia coli in a diabetic patient (case report)
- Author Vladimer Papava
- Co-Author Tamar Didbaridze, David Kochiashvili, Valeri Khvakhajelidze, Nino Gogokhia, Irakli
- DOI
- Country : Georgia
- Subject : Urology
Keywords : Prostatic abscess, diabetes, diagnoses, treatment
Abstract
Since the advent of potent antibiotics, prostatic abscess has become increasingly uncommon. Effective treatment of gonorrhea, a major cause of prostatic abscess in the past, has contributed significantly to this phenomenon. Prostatic abscess mainly affects diabetic and immunocompromise patients. Prostatic abscess is difficult to diagnose because clinical presentations may mimic several other diseases of the lower urinary tract, such as dysuria, urgency, and frequency. Prostatic abscess is a rare complication of acute bacterial prostatitis, described in 0.5 to 2.5% of patients presenting with inflammatory prostatitis. Patients with prostatic abscess typically present with difficulty urinating or with acute urinary retention. In particular, differential diagnosis between acute bacterial prostatitis and prostatic abscess is difficult on the basis of clinical symptoms and examinations. It may result in severe complications and even urosepsis and death. More recent data suggests a mortality rate from 3% to 16%.
We report a case of prostatic abscess in a 57-year-old known diabetic male patient who was admitted in the First University Clinic of TSMU urology department in 2017 of 24 july. Clinical diagnosis was done by clinical presentation and CT-scan and transrectal ultrasonography (TRUS). The causative agent Escherichia coli were isolated from the aspirate and surgical intervention was required under spinal anesthesia. The patient responded to intravenous Piperacillin and Tazobactam therapy.
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