Sáenz-Abad Daniel, Letona-Carbajo Santiago, Benito-Arévalo José Luis de, Sanioaquín-Conde Isabel, Ruiz-Ruiz Francisco José
Emergency Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Sao Paulo Med J. 2008 Jul;126(4):227-8. doi: 10.1590/s1516-31802008000400007.
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.
前列腺结核主要在免疫功能低下的患者中被描述。然而,在免疫功能正常的患者中也可罕见地发现其作为孤立病变存在。
我们报告一例年轻、健康且免疫功能正常的前列腺结核患者,静脉尿路造影检查未发现异常。计算机断层扫描显示前列腺有脓肿,尿液培养分离出结核分枝杆菌。异烟肼、利福平和吡嗪酰胺治疗成功。