Incidentally detected tuberculous prostatitis with microabscess

ABSTRACT Tuberculous prostatitis is a rare and often overlooked entity that may mimic prostatic adenocarcinoma on imaging exams, especially multiparametric magnetic resonance imaging (MRI) of the prostate. Detection of a prostatic abscess is a clue to the correct diagnosis.

Tuberculosis genitourinaria en paciente con sida / Genitourinary tuberculosis in an AIDS patient

Introducción: la tuberculosis es una enfermedad con una alta prevalencia en los países en vías de desarrollo. Entre los casos de tuberculosis extrapulmonar, la tuberculosis genitourinaria es común y esta situación se acentúa en los pacientes con sida. Objetivo: describir las características clínicas de un paciente que presentó tuberculosis genitourinaria detectada mediante el empleo de la reacción en cadena de la polimerasa. Presentación del caso: paciente masculino de 34 años de edad, seropositivo al virus de la inmunodeficiencia humana desde 2004, con antecedentes de tuberculosis pulmonar, que ingresa en junio de 2014 en el Hospital del Instituto de Medicina Tropical Pedro Kourí refiriendo fiebre de alrededor de dos meses de duración, intermitente, vespertina, acompañada de sudoraciones profusas y pérdida de peso importante. Además, se constata la presencia de disuria desde el comienzo de la fiebre. Recibió varios tratamientos con antibióticos sin respuesta. Se detecta Mycobacterium tuberculosis en la orina del paciente mediante la reacción en cadena de la polimerasa. Tres meses después, es reevaluado y se encuentra afebril, con aumento de peso, evolución clínica favorable y continúa con la primera fase de tratamiento anti-tuberculosis. Conclusiones: el evento ocurrido en este caso sugiere que los facultativos deben pensar en el diagnóstico de la tuberculosis genitourinaria en los pacientes con sida(AU)

Introduction: tuberculosis is highly prevalent in developing countries. Genitourinary tuberculosis is a common type of extrapulmonary tuberculosis, particularly in AIDS patients. Objective: describe the clinical characteristics of a patient with genitourinary tuberculosis detected by polymerase chain reaction. Case presentation: amale 34 year-old patient seropositive for human immunodeficiency virus since the year 2004 and a history of pulmonary tuberculosis is admitted in 2014 to the hospital at Pedro Kouri Tropical Medicine Institute. The patient had had intermittent vespertine fever for about two months as well as profuse sweating and considerable weight loss. Dysuria had also been present since the onset of fever. The patient had received several antibiotic treatments with no response. Mycobacterium tuberculosis was detected in the patient's urine by polymerase chain reaction. Re-evaluation performed three months later found that the patient was afebrile, had gained weight and his clinical evolution was favorable. The patient continues at the first stage of tuberculosis treatment. Conclusions: the event described suggests that physicians should consider genitourinary tuberculosis in their evaluation of AIDS patients(AU)

Tuberculous prostatitis--a case report.

Tuberculous prostatitis is a rare condition. A 55 years-old man admitted into a surgery unit of Mymensingh Medical College Hospital with features of prostatism. After clinical examination and investigations, it was diagnosed as a case of benign enlargement of prostate (BEP) and surgery was decided to do. During exploration a large cystic cavitation found in prostate and the intact median lobe taken out for histopathological examination, which revealed tuberculous granuloma. The patient had no evidence of past or present pulmonary tuberculosis. He was treated with anti-tubercular chemotherapy and responded well. No such case is found reported in Bangladesh yet in through medline search database. So, the case is reported here.

Prostatic tuberculosis and AIDS.

Tuberculosis of the prostate is rare and is thought to be either due to haematogenous dissemination or secondary to renal infection. We describe, possibly for the first time, two male patients with the acquired immunodeficiency syndrome who had tuberculous abscesses in the prostate discovered at post-mortem examination. Only one of them had mild urinary symptoms and neither had evidence of urogenital tuberculosis before death. We suggest that in a patient with acquired immunodeficiency syndrome tuberculous infection of the prostate should be sought by microscopic examination of the urine, semen and prostatic fluid obtained after massage.