Kuo Pei-Hsun, Huang Kuo-How, Lee Chung-Wei, Lee Wen-Jeng, Chen Shyh-Jye, Liu Kao-Lang
Department of Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
J Formos Med Assoc. 2007 Jan;106(1):74-7. doi: 10.1016/S0929-6646(09)60219-9.
Emphysematous prostatitis is a rare condition that is characterized by gas and abscess accumulation in the prostate. We report a 60-year-old man with emphysematous prostatitis caused by Klebsiella pneumoniae. He had a history of recently diagnosed diabetes mellitus and a 16-year history of alcoholic liver cirrhosis. He was admitted due to fever, dysuria and difficult urination. Physical examination revealed lower abdominal tenderness and prostatic fluctuance on digital examination. Leukocytosis, pyuria and elevated C-reactive protein were found. Abdominal radiography disclosed a collection of abnormal air pockets in the lower pelvic cavity and computed tomography scans corroborated the existence of extensive air collection in the prostate. Under the impression of emphysematous prostatitis, the patient was successfully treated with transurethral incision of the prostate and antibiotics for 6 weeks; there were no urinary sequelae during 6 months of follow-up.
气肿性前列腺炎是一种罕见疾病，其特征为前列腺内气体和脓肿积聚。我们报告一例由肺炎克雷伯菌引起的气肿性前列腺炎的60岁男性患者。他有近期诊断出的糖尿病史以及16年的酒精性肝硬化病史。他因发热、排尿困难和尿痛入院。体格检查发现下腹部压痛，直肠指检时前列腺有波动感。发现白细胞增多、脓尿和C反应蛋白升高。腹部X线检查显示盆腔下部有异常气腔聚集，计算机断层扫描证实前列腺内存在广泛的气体聚集。在气肿性前列腺炎的诊断下，患者成功接受了经尿道前列腺切开术并使用抗生素治疗6周；在6个月的随访期间无泌尿系统后遗症。
