由于Mycobacterium tuberculosis和Stenotrophomonas maltophilia的双重感染而导致的前列腺
Sriram V Raju1, Senthil Narayanasamy1, Suja Lakshmanan1,2
1Internal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|December 25, 2025
概括
这份病例报告详细介绍了一种罕见的前列腺,由Stenotrophomonas maltophilia和Mycobacterium tuberculosis引起. 及时诊断和联合治疗导致完全消失.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 前列腺是不常见的,而作为一个孤立的前列腺呈现的生殖泌尿结核病是极为罕见的.
- 在前列腺中,涉及细菌和Mycobacterium tuberculosis的双病原体感染带来了诊断挑战.
研究的目的:
- 报告一个罕见的中年男性,由于双重感染引起的前列腺瘤病例.
- 突出诊断困难,并强调在前列腺中考虑结核病的重要性,即使没有肺部症状.
主要方法:
- 一名中年男性患者患有2型糖尿病和高血压,出现下尿路症状和发烧.
- 图像检查显示多部位的前列腺.
- 培养物确定了Stenotrophomonas maltophilia,并且基于弹的核酸放大测试证实了Mycobacterium结核病.
主要成果:
- 该患者成功地通过对Stenotrophomonas maltophilia的抗菌疗法和标准抗结核治疗的组合治疗.
- 通过处方治疗和支持性护理,得到了前列腺完全消失.
结论:
- 双病原性前列腺需要高的怀疑指数才能准确诊断.
- 应考虑前列腺的结核病因,特别是结核流行地区的结核病因,无论肺部是否受到影响.
相关概念视频
Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K
Urinary Tract Infection II: Pathophysiology
524
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
524
Pulmonary Tuberculosis III
884
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
884
Acute Pyelonephritis II: Diagnostic Studies and Management
275
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
275
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
228
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
228
Pulmonary Tuberculosis I
801
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
801


