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Clinics in diagnostic imaging (57). Melioidotic prostatic abscess
1Department of Urology, Singapore General Hospital, Singapore. gurykh@sgh.gov.sg
Singapore Medical Journal
|May 22, 2001
Summary
Melioidosis, a serious infection caused by Burkholderia pseudomallei, can lead to prostatic abscess. Prompt diagnosis and surgical drainage are crucial for successful treatment when antibiotics fail.
Area of Science:
- Infectious Diseases
- Urology
- Microbiology
Background:
- Melioidosis is a severe bacterial infection caused by Burkholderia pseudomallei, endemic in tropical regions.
- Urosepsis and lower urinary tract obstruction are potential complications of Melioidosis.
- Prostatic abscess is a rare but serious manifestation of Melioidosis.
Observation:
- A 46-year-old man presented with urosepsis and lower urinary tract obstruction due to Burkholderia pseudomallei.
- Initial treatment with intravenous Ceftazidime was ineffective in controlling the infection.
- Transrectal ultrasonography and computed tomography revealed a prostatic abscess.
Findings:
- Surgical drainage of the prostatic abscess via transurethral resection was performed.
- The transurethral resection successfully eradicated the infectious focus.
- This case highlights the challenges in managing complicated Melioidosis.
Implications:
- Early recognition and aggressive management, including surgical intervention, are vital for Melioidosis with prostatic abscess.
- Transurethral resection can be an effective method for draining prostatic abscesses in Melioidosis patients.
- Further research into optimal treatment strategies for Melioidosis-induced prostatic abscesses is warranted.