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Published on: January 16, 2013
Emphysematous prostatitis caused by Klebsiella pneumoniae
Pei-Hsun Kuo1, Kuo-How Huang, Chung-Wei Lee
1Department of Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Emphysematous prostatitis, a rare condition involving prostate gas and abscesses, was successfully treated in a diabetic patient with Klebsiella pneumoniae infection. Treatment involved antibiotics and transurethral prostate incision, with no long-term urinary issues.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Emphysematous prostatitis is a rare, severe condition characterized by gas and abscess formation within the prostate gland.
- Risk factors include diabetes mellitus and immunocompromised states.
Observation:
- A 60-year-old male with diabetes and alcoholic liver cirrhosis presented with fever, dysuria, and difficult urination.
- Physical exam revealed lower abdominal tenderness and prostatic fluctuance.
- Imaging confirmed extensive air collection within the prostate.
Findings:
- The patient was diagnosed with emphysematous prostatitis caused by Klebsiella pneumoniae.
- Laboratory tests showed leukocytosis, pyuria, and elevated C-reactive protein.
Implications:
- Successful treatment achieved with transurethral incision of the prostate and a 6-week course of antibiotics.
- The patient experienced no urinary sequelae during a 6-month follow-up period.
- This case highlights effective management strategies for this rare condition.
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