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Primary Melioidotic Prostatic Abscesses-A Case Report and Literature Review

原發性類鼻疽攝護腺膿瘍

摘要


類鼻疽在東南亞和澳洲北部是流行疾病,只侵犯攝護腺但沒有肺炎的病例很少。我們報告一位發燒的病人,感染源為類鼻疽攝護腺膿瘍,最初尿液檢查為正常,但攝護腺按摩後的尿液卻是膿尿,所有從血液、尿液和尿道口膿的培養報告都是類鼻疽菌,經ceftazidime和co-trimoxazole抗生素治療加上外科引流後治療成功。在台灣一個不明感染源的敗血症病人,類鼻疽造成的攝護腺膿瘍應該列入考慮。

並列摘要


Melioidosis is endemic in Southeast Asia and northern Australia but reports of prostatic involvement without pneumonitis are rare. We herein report on a febrile patient with Burkholderia pseudomallei septicemia presenting primarily as prostatic abscesses. Initial urinalysis was normal but post-prostatic massage urinalysis revealed profound pyuria. All cultures from blood, post-massage urine and urethral pus grew Burkholderia pseudomallei. The patient was treated successfully with ceftazidime and co-trimoxazole combined with surgical drainage by transurethral resection of the prostate. Melioidotic prostatic abscesses should be considered in a patient with sepsis of an uncertain infectious source in Taiwan.

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