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Updated: Sep 12, 2025
06:09
Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
Published on: July 18, 2017
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A Rare Case of Prostate Abscess With Pyelonephritis in an Adolescent Male
Hasan A Al-Ibraheem1, George Hill1
1Urology, Aneurin Bevan University Health Board, Newport, GBR.
Cureus
|August 5, 2025
Summary
Prostatic abscess, a rare condition in adolescent males, requires prompt diagnosis and treatment. Ultrasound-guided transperineal aspiration combined with antibiotics effectively treated a 16-year-old patient with sepsis and urinary symptoms.
Area of Science:
- Urology
- Pediatric Urology
- Infectious Diseases
Background:
- Prostatic abscess is an uncommon condition, particularly in adolescents.
- Early diagnosis and effective management are crucial for favorable outcomes.
Observation:
- A 16-year-old male presented with bilateral flank pain, dysuria, and sepsis.
- Imaging confirmed bilateral pyelonephritis and a prostatic abscess.
- Initial antibiotic therapy was insufficient.
Findings:
- Ultrasound-guided transperineal aspiration of the prostatic abscess was performed under general anesthesia.
- Combined treatment with antibiotics and abscess drainage led to significant clinical improvement.
Implications:
- Prostatic abscess should be considered in the differential diagnosis of adolescent males with persistent urinary issues and sepsis.
- Transperineal drainage is a safe and minimally invasive option for treating prostatic abscesses in this age group.
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