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Emphysematous prostatic abscess due to candidiasis: a case report.
Yung-Shun Juan1, Chun-Hsiung Huang, Ko Chang
1Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|February 19, 2008
Summary
Emphysematous prostatic abscess, a rare fungal infection, is challenging to diagnose. This case report details a successful treatment involving antibiotics and CT-guided drainage for a patient with diabetes and liver cirrhosis.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Prostatic abscess is an uncommon condition with variable and nonspecific clinical presentations, making diagnosis difficult.
- Emphysematous prostatic abscess, particularly due to candidiasis, is exceedingly rare.
Observation:
- A 68-year-old male with diabetes and liver cirrhosis presented with symptoms suggestive of prostatic abscess.
- Pelvic computed tomography (CT) confirmed the diagnosis of emphysematous prostatic abscess.
Findings:
- The patient was successfully treated with a course of antibiotics.
- CT-guided percutaneous abscess drainage was performed for definitive treatment.
Implications:
- This case underscores the importance of considering rare etiologies like candidiasis in prostatic abscess.
- Early and accurate diagnosis using imaging modalities like CT is crucial for effective management.
- Prompt and appropriate treatment, including antibiotics and drainage, leads to successful outcomes in complex cases.
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