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[Prostatic actinomycosis in a diabetic patient].
M Chemsi1, O Gisserot, S Cremades
1Service de Médecine Interne et d'Oncologie, Hôpital d'Instruction des Armées Sainte-Anne, 83800 Toulon Armées, France. mchemsi2001@yahoo.fr
La Revue De Medecine Interne
|February 27, 2007
Summary
Prostatic actinomycosis, a rare condition, was successfully treated in a diabetic patient with a fistula. Treatment involved surgical repair and targeted antibiotics, leading to a full recovery from the Actinomyces infection.
Area of Science:
- Urology
- Infectious Diseases
- Microbiology
Background:
- Prostatic actinomycosis is an uncommon clinical presentation.
- Actinomycosis typically affects other body sites, making prostatic involvement rare.
Observation:
- A 59-year-old diabetic male presented with prostatic actinomycosis.
- The infection had spontaneously formed a fistula into the rectum.
- Blood and fistula pus cultures identified two species of Actinomyces.
Findings:
- Surgical intervention to address the fistula was performed.
- Specific antibiotic therapy targeting Actinomyces was administered.
- The combined treatment successfully resolved the prostatic actinomycosis.
Implications:
- This case highlights the importance of considering actinomycosis in prostatic infections, even when rare.
- Effective management involves a combination of surgical and antimicrobial approaches.
- Successful treatment of prostatic actinomycosis can be achieved with appropriate therapeutic strategies.
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