Gandhi Nilay M, Lin Joseph, Schaeffer Edward
Johns Hopkins Medical Institution, Baltimore, MD, USA.
Urol Case Rep. 2014 Oct 11;2(6):194-6. doi: 10.1016/j.eucr.2014.08.005. eCollection 2014 Nov.
Prostate postbiopsy infectious complications typically present in the form of prostatitis and uncommonly urosepsis. Prostatic abscesses are generally found after multiple bouts of prostatitis and are associated with a clinically septic picture requiring intensive care unit admission and resuscitation. We report the case of a 65-year-old man who presented with prostatic abscess in the setting of nonspecific urinary symptoms after transrectal ultrasonography-guided prostate biopsy. At 4-month follow-up, he is currently free of disease with undetectable prostate-specific antigen level and negative imaging.
前列腺穿刺活检后的感染并发症通常表现为前列腺炎,罕见的为尿脓毒症。前列腺脓肿一般在多次前列腺炎发作后发现,且伴有需要入住重症监护病房并进行复苏的临床脓毒症表现。我们报告了一例65岁男性病例,该患者在经直肠超声引导下前列腺穿刺活检后,出现非特异性泌尿系统症状,并伴有前列腺脓肿。在4个月的随访中,他目前没有疾病,前列腺特异性抗原水平检测不到,影像学检查结果为阴性。