Kim Chul Jang, Sano Taichi, Takimoto Keita
Department of Urology, Kohka Public Hospital, Kohka, Japan.
Korean J Urol. 2011 Jun;52(6):425-7. doi: 10.4111/kju.2011.52.6.425. Epub 2011 Jun 17.
Miliary tuberculosis (TB) after transrectal ultrasonography (TRUS)-guided prostate biopsy is an extremely rare complication. A 75-year-old patient who presented with high fever and cough following TRUS-guided prostate biopsy for his high serum prostate-specific antigen (PSA) level (13.104 ng/ml) was diagnosed with miliary TB after clinical, laboratory, and radiological assessments. Histopathological examination of the prostate revealed TB with acid-fast bacilli. He was treated with chemotherapy for 9 months. The patient is now symptom-free, and his post-treatment PSA level was 5.023 ng/ml. This case is reported to acknowledge the possibility that miliary TB can occur as a complication of prostate biopsy if the patient suffers from prostate TB.
经直肠超声（TRUS）引导下前列腺穿刺活检后发生粟粒性肺结核是一种极其罕见的并发症。一名75岁男性患者，因血清前列腺特异性抗原（PSA）水平高（13.104 ng/ml）接受TRUS引导下前列腺穿刺活检，之后出现高热和咳嗽，经临床、实验室及影像学评估后被诊断为粟粒性肺结核。前列腺组织病理学检查发现结核伴抗酸杆菌。他接受了9个月的化疗。患者目前无症状，治疗后的PSA水平为5.023 ng/ml。报道该病例是为了确认，如果患者患有前列腺结核，粟粒性肺结核可能作为前列腺穿刺活检的并发症发生。
