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Published on: January 16, 2013
Fungal prostatitis: an update
Abstract:
Prostate pathology is a daily occurrence in urological and general medical consultations. Besides hyperplasia and neoplastic pathology, other processes, such as infectious ones, are also documented. Their etiology is diverse and varied. Within the infectious prostatic processes, fungi can also be a specific cause of prostatitis. Fungal prostatitis often appears in patients with impaired immunity and can also be rarely found in healthy patients. It can result from a disseminated infection, but it can also be localized. Fungal prostatitis is a nonspecific and harmless process. Diagnosis is commonly made by fine needle aspiration cytology or by biopsy. A number of fungi can be involved. Although there are not many reported cases, they are becoming more frequent, in particular in patients with some degree of immunodeficiency or those who live in areas where specific fungi are endemic or in visitors of those areas. We present a comprehensive review of the various forms of fungal prostatitis, and we describe the morphological characteristics of the fungi more frequently reported as causes of fungal prostatitis. We also report our own experience, aiming to alert physicians, urologists and pathologists of these particular infections.
Insights
Fungal prostatitis, though rare, is an emerging concern, particularly in immunocompromised individuals. Early diagnosis via cytology or biopsy is crucial for managing this often-overlooked prostatic infection.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Prostate pathology encompasses diverse conditions, including infectious processes like prostatitis.
- Fungal prostatitis, a specific type of prostatitis, can occur in both immunocompromised and healthy individuals.
- While uncommon, fungal prostatitis cases are increasing, especially in endemic areas or among immunocompromised populations.
Purpose of the Study:
- To provide a comprehensive review of fungal prostatitis.
- To describe the morphological characteristics of fungi commonly causing prostatitis.
- To raise awareness among physicians, urologists, and pathologists regarding fungal prostatitis.
Main Methods:
- Review of existing literature on fungal prostatitis.
- Description of diagnostic methods, including fine needle aspiration cytology and biopsy.
- Analysis of morphological features of causative fungal agents.
Main Results:
- Fungal prostatitis can be a localized or disseminated infection.
- Diagnosis is typically achieved through cytological or histological examination.
- Various fungal species can be implicated in causing prostatitis.
Conclusions:
- Fungal prostatitis is an increasingly recognized condition, particularly in at-risk populations.
- Awareness and prompt diagnosis are essential for effective management.
- Further research and clinical vigilance are needed to address this emerging infectious etiology.
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