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Area of Science:

  • Urology
  • Infectious Diseases
  • Nephrology

Background:

  • A 48-year-old male with ischemic stroke, diabetes, and chronic renal failure presented with fever, lower urinary tract symptoms (LUTS), nausea, and vomiting.
  • Physical examination revealed a tender prostate on digital rectal examination.

Observation:

  • Laboratory tests indicated a biological inflammatory syndrome and diabetic ketoacidosis.
  • Abdominopelvic CT scan confirmed prostatic gas, suggestive of an abscess.
  • Urinalysis was positive for Enterobacter cloacae.

Findings:

  • The patient received antibiotic therapy and underwent transrectal aspiration of the prostatic collection.
  • Despite treatment, the patient's condition deteriorated.
  • The patient died two weeks after treatment initiation.

Implications:

  • This case highlights the severe complications of prostatic abscesses, particularly in immunocompromised patients with comorbidities.
  • Prompt diagnosis and aggressive management are crucial, but treatment outcomes can be poor.
  • Enterobacter cloacae represents a significant pathogen in complicated urinary tract infections and prostate infections.