Taylor Gregory M, Paratore Diane M
Teaching Hospital of Michigan State University, Beaumont Hospital, Farmington Hills, MI, USA.
Oxf Med Case Reports. 2018 Oct 17;2018(11):omy086. doi: 10.1093/omcr/omy086. eCollection 2018 Nov.
Acute bacterial prostatitis, an acute infection of the prostate gland, results in lower abdominal pain, flank pain, urinary symptoms and the potential for systemic symptoms like fever and shock. With a high mortality rate if left untreated, acute bacterial prostatitis becomes a true urological emergency, which if allowed to progress, may result in bacteremia, severe sepsis/septic shock and death. Diagnosis is mainly clinical with a detailed history and physical and laboratory evaluation to include a urinalysis. However, imaging may be necessary to exclude other pathology. We present the case of a 44-year-old male with a history of well-controlled HIV that used a prostate vibrator for 1-week prior to his presentation to the ED. He was subsequently diagnosed with septic shock secondary to acute bacterial prostatitis and required ICU management.
急性细菌性前列腺炎是前列腺的急性感染，可导致下腹部疼痛、侧腹疼痛、泌尿系统症状以及出现发热和休克等全身症状的可能性。如果不治疗，急性细菌性前列腺炎死亡率很高，成为真正的泌尿外科急症，若任其发展，可能导致菌血症、严重脓毒症/脓毒性休克及死亡。诊断主要依靠临床，通过详细的病史、体格检查及实验室评估（包括尿液分析）来进行。然而，可能需要影像学检查以排除其他病变。我们报告一例44岁男性病例，其HIV病情控制良好，在急诊就诊前使用前列腺振动器1周。他随后被诊断为继发于急性细菌性前列腺炎的脓毒性休克，需要重症监护病房管理。
