MANAGEMENT OF HUGE PROSTATE ABSCESS IN A YOUNG PATIENT - A CASE REPORT
Journal
Macedonian Medical Review
Date Issued
2020
Author(s)
Abstract
A prostate abscess is a localized collection of purulent
fluid within the prostate, which is often seen as a complication
of acute bacterial prostatitis. A 20-year-old patient
presented with a 14-day history of increased urinary
frequency, dysuria, fever, left gluteal pain and obstipation.
The patient claimed that he was not sexually active
and did not have any chronic diseases or history of
surgical procedures. The digital rectal examination was
painful and a firm tumefaction with smooth wall was
found. Complete blood count with differential was made
and it showed elevated inflammatory markers (WBC-
28 x10^9/L, CRP-220 mg/L). An abdominal ultrasound
and pelvic MRI scan revealed a cystic lesion 49x67x94
mm found in the prostate. A needle was inserted inside
the lesion via transrectal ultrasound (TRUS), and 95 ml
of purulent drainage was aspirated. The patient was
treated with broad-spectrum intravenous antibiotics –
ceftriaxone and ciprofloxacin. The symptoms disappeared
immediately after the procedure. Microbiological culture
from the purulent specimen was made and it was positive
on Peptococcus, sensitive on both antibiotics. The
patient was discharged 4 days following the intervention.
fluid within the prostate, which is often seen as a complication
of acute bacterial prostatitis. A 20-year-old patient
presented with a 14-day history of increased urinary
frequency, dysuria, fever, left gluteal pain and obstipation.
The patient claimed that he was not sexually active
and did not have any chronic diseases or history of
surgical procedures. The digital rectal examination was
painful and a firm tumefaction with smooth wall was
found. Complete blood count with differential was made
and it showed elevated inflammatory markers (WBC-
28 x10^9/L, CRP-220 mg/L). An abdominal ultrasound
and pelvic MRI scan revealed a cystic lesion 49x67x94
mm found in the prostate. A needle was inserted inside
the lesion via transrectal ultrasound (TRUS), and 95 ml
of purulent drainage was aspirated. The patient was
treated with broad-spectrum intravenous antibiotics –
ceftriaxone and ciprofloxacin. The symptoms disappeared
immediately after the procedure. Microbiological culture
from the purulent specimen was made and it was positive
on Peptococcus, sensitive on both antibiotics. The
patient was discharged 4 days following the intervention.
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