Abdulsalam Ahmad Jasem, Abdulsalam Mohammad Adel
Faculty of Medicine, Health Science Center, Jabriya, Kuwait.
Mubarak Al Kabeer Hospital, Jabriya, Kuwait.
Int Med Case Rep J. 2015 May 2;8:99-102. doi: 10.2147/IMCRJ.S83351. eCollection 2015.
Tuberculosis of the prostate is a rare complication of miliary tuberculosis.
We report a 32-year-old Iranian male diagnosed with a case of miliary tuberculosis affecting the prostate. The patient was admitted to the hospital with convulsions. Computerized tomography increased the clinical suspicion of miliary tuberculosis extending to the prostate where a trans-rectal urethral biopsy was obtained. The biopsy revealed multiple necrotizing granulomata suggestive of tuberculosis.
A strong clinical suspicion and availability of sophisticated tests with confirmation by biopsy, polymerase chain reaction, and culture are needed in order to avoid misdiagnosis of complicated miliary tuberculosis cases.
前列腺结核是粟粒性结核的一种罕见并发症。
我们报告一例32岁的伊朗男性,被诊断为患有累及前列腺的粟粒性结核。该患者因惊厥入院。计算机断层扫描增加了对粟粒性结核扩展至前列腺的临床怀疑,随后进行了经直肠尿道活检。活检显示多个坏死性肉芽肿,提示为结核。
对于复杂的粟粒性结核病例,需要有强烈的临床怀疑,并具备通过活检、聚合酶链反应和培养进行确诊的精密检测手段,以避免误诊。