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Prostatic abscess due to Candida with no systemic manifestations.
A Collado1, J Ponce de León, D Salinas
1Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, España. oceo@arrakis.es
Urologia Internationalis
|August 8, 2001
Summary
Fungal prostatic abscesses, often linked to systemic illness in immunocompromised individuals, can occur in isolation. This case highlights Candida albicans prostatic abscess diagnosed via transrectal ultrasound and treated with needle aspiration.
Area of Science:
- Urology
- Mycology
- Infectious Diseases
Background:
- Fungal prostatic abscess is a rare clinical entity.
- It typically occurs secondary to systemic fungal infections in immunocompromised patients.
- Isolated prostatic abscesses without systemic involvement are exceptional.
Observation:
- This report details a case of prostatic abscess caused by Candida albicans.
- The patient presented with no signs of systemic fungal infection.
- Diagnosis was aided by transrectal ultrasound, distinguishing it from acute prostatitis.
Findings:
- Transrectal ultrasound is crucial for diagnosing fungal prostatic abscess.
- Ultrasound-guided transrectal needle aspiration is the preferred treatment.
- Antibiotic therapy should be initiated prior to aspiration.
Implications:
- This case expands the understanding of isolated fungal prostatic abscess presentations.
- Early diagnosis and targeted intervention are key for successful management.
- Ultrasonographic follow-up is necessary to monitor for recurrence or persistence.