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Candida prostatitis: A rare entity.

Shabnam Singh1, Meeta Singh1, Lovenish Bains2

  • 1Senior Resident, Department of Pathology, 28862Maulana Azad Medical College, New Delhi, India.

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Summary
This summary is machine-generated.

This case report details a rare instance of prostatic candidiasis, a fungal infection of the prostate, in an elderly diabetic patient. The infection was diagnosed after transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH).

Keywords:
Fungal infectiondiagnosisurologic

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Area of Science:

  • Urology
  • Mycology
  • Pathology

Background:

  • Prostatitis commonly presents with lower urinary tract symptoms (LUTS) due to bacterial infections (NIH Category I/II) or inflammation (NIH Category IV).
  • Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS, NIH Category III) has varied etiologies but rarely involves fungal infections.
  • Prostatitis caused by Candida species is uncommon, with only occasional case reports documented.

Observation:

  • An elderly diabetic patient underwent transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH).
  • One month post-surgery, the patient presented with recurrent LUTS and perineal discomfort.
  • Repeat TURP revealed prostate hyperplasia with prostatitis, including Candida hyphae and yeast forms admixed with inflammatory exudate.

Findings:

  • Histopathology of TURP chips confirmed the presence of Candida species within the prostate tissue.
  • Special stains and positive urine cultures corroborated the diagnosis of prostatic candidiasis.
  • This case highlights a rare fungal etiology for prostatitis following BPH surgery.

Implications:

  • This case underscores the importance of considering fungal infections, specifically Candida, in the differential diagnosis of prostatitis, particularly in immunocompromised or post-surgical patients.
  • Accurate diagnosis through histopathology and microbiology is crucial for appropriate antifungal treatment.
  • Further research into the incidence and management of prostatic candidiasis may be warranted.