RESUMO
Emphysematous prostatitis is a rare complication of bacterial prostatitis with a high mortality rate. Due to limited publications on this entity, its management is not standardized. In the reported cases, the treatment consisted of rapid and complete drainage of the abscess, with early antibiotic therapy. We report a case of emphysematous prostatitis in a 76-year-old patient at D17 of a prostatic resection who presented to the emergency room with asthenia and fever. Clinically, he was in sepsis. The isolated germ is an Enterococcus Enterobacter cloacae complex, sensitive to Piperacillin + Tazobactam. The ultimate evolution was favorable.
RESUMO
Tuberculous epididymitis is caused by Mycobacterium tuberculosis. A 30-year-old patient, with a comorbidity of atrial fibrillation, presented with pain in the left testicular for 1 year. On physical examination revealed a patient febrile at 39 °C with a pain, Scrotal swelling. Laboratory tests, a hyperleukocytosis at 25000/mm3, CRP at 160 mg/l. Scrotal ultrasound showed a Collection of fluid. Surgical exploration found an abscessed cyst at the expense of the epididymis. Due to the risk of epididymis neoplasia, surgery therapy ended up in the course of pharmacotherapy and not after 6 weeks as recommended by the studies.
