Abstract
Tuberculosis of the prostate has mainly been described in immunocompromised patients. However, it can exceptionally be found as an isolated lesion in immunocompetent patients. We report a case of prostatic tuberculosis in a young, healthy and immunocompetent patient with unremarkable findings from intravenous urographic examination. Computed tomography showed an abscess in the prostate and Mycobacterium tuberculosis was isolated in a urine culture. Treatment with isoniazid, rifampin and pyrazinamide was successful.
Highlights
Genitourinary tuberculosis is a common type of extrapulmonary tuberculosis
CASE REPORT: We report a case of prostatic tuberculosis in a young, healthy and immunocompetent patient with unremarkable findings from intravenous urographic examination
La tomografía computerizada (TC) mostró un absceso en próstata, aislándose en el urocultivo Mycobacterium tuberculosis
Summary
Genitourinary tuberculosis is a common type of extrapulmonary tuberculosis. The kidneys, ureter, bladder or genital organs are usually involved. We report a case of prostatic tuberculosis in a young, healthy and immunocompetent patient with unremarkable findings from intravenous urographic examination. CASE REPORT A 36-year-old man who was born in Senegal was admitted to our hospital with a 12-month history of fever and fatigue and weight loss of 10 kg He had no other medical problems and he reported not having traveled anywhere during the last two years. Thoracoabdominal computed tomography (CT) examination revealed a large prostatic abscess with necrosis, while the other structures of the genitourinary system were normal (Figure 1a). The patient was treated with isoniazid, rifampin and pyrazinamide for two months and he continued with isoniazid and rifampin for a further ten months After this treatment, CT examination showed that the prostate had returned to its normal size and the necrotic abscess had decreased dramatically (Figure 1b)
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Schedule a callMore From: Sao Paulo medical journal = Revista paulista de medicina
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