Yip S K, Cheng C, Wong M Y, Tan B H, Sim C S, Lim S H
Department of Urology, Singapore General Hospital, Singapore.
Ann Acad Med Singap. 1998 Nov;27(6):873-6.
A case of cryptococcal prostatic abscess in a 65-year-old Chinese man with immunosuppression from treatment of myasthenia gravis is presented. The patient was diagnosed to have cryptococcaemia when he presented with fever and urinary symptoms. Further investigations confirmed cryptococcal meningitis and imaging studies showed a hypodense lesion in the prostate. This proved to be an abscess and it was deroofed transurethrally. Histology of the prostatic tissue revealed the presence of Cryptococcus. The prostate can be a site of persistent cryptococcal infection and may take the form of an abscess. It should be drained transurethrally to prevent relapse.
本文报道了一例65岁中国男性因重症肌无力治疗导致免疫抑制而发生的隐球菌性前列腺脓肿病例。患者出现发热和泌尿系统症状时被诊断为隐球菌血症。进一步检查确诊为隐球菌性脑膜炎，影像学研究显示前列腺有一个低密度病变。经证实这是一个脓肿，并通过经尿道去顶引流。前列腺组织的组织学检查发现了隐球菌。前列腺可能是隐球菌持续感染的部位，且可能表现为脓肿形式。应经尿道引流以防止复发。
