Abreu Diego, Arroyo Carlos, Suarez Ruben, Campolo Horacio, Izaguirre Juan, Decía Ricardo, Machado Miguel, Carvalhal Gustavo Franco, Clavijo Jorge
Department of Urology, Pasteur Hospital, Montevideo, Uruguay.
BMJ Case Rep. 2011 May 12;2011:bcr1020103463. doi: 10.1136/bcr.10.2010.3463.
Prostatic abscess is rare. Its potentially serious course requires a high level of clinical suspicion and prompt and effective treatment. The causative germs are usually either enterobacteria or Enterococcus. The authors highlight the importance of considering epidemiological and clinical aspects in the early diagnosis and treatment. Prostatic abscess due to community-acquired methicillin resistant Staphylococcus has three typical characteristics: skin entry point, periprostatic compromise, and anaemia and low prothrombin.
前列腺脓肿较为罕见。其潜在的严重病程需要高度的临床怀疑以及及时有效的治疗。致病病菌通常为肠杆菌或肠球菌。作者强调了在早期诊断和治疗中考虑流行病学和临床方面的重要性。社区获得性耐甲氧西林葡萄球菌所致的前列腺脓肿有三个典型特征:皮肤入口点、前列腺周围受累以及贫血和低凝血酶原。