Mayouf Salem, Fourati Mohamed, Bchir Slim, Kammoun Omar, Mseddi Mohamed Amine, Slimen Mourad Hadj
Urology Department, Academic Hospital Habib Bourguiba, Sfax, Tunisia.
Urol Case Rep. 2020 Oct 19;34:101459. doi: 10.1016/j.eucr.2020.101459. eCollection 2021 Jan.
We report the case of a 48-year-old man with ischemic stroke, diabetes and chronic renal failure admitted for fever with LUTS associated with nausea and vomiting.The physical examination showed a depressible abdomen, painful prostate on digital rectal examination.A biological inflammatory syndrome with diabetic ketoacidosis.The abdominopelvic CT scan confirmed the diagnosis by the presence of gas in the prostate,and the CBUE was positive for .The patient was treated with appropriate antibiotic therapy with transrectal aspiration of the prostate collection,but the evolution was marked by the worsening of the patient's condition leading to his death after two weeks of treatment.
我们报告了一例48岁男性患者，患有缺血性中风、糖尿病和慢性肾衰竭，因发热伴下尿路症状（LUTS）并伴有恶心和呕吐入院。体格检查发现腹部可按压，直肠指检时前列腺疼痛。存在伴有糖尿病酮症酸中毒的生物性炎症综合征。腹部盆腔CT扫描通过前列腺内出现气体确诊，尿培养弯曲杆菌属阳性。患者接受了适当的抗生素治疗，并经直肠抽吸前列腺积液，但病情进展以患者状况恶化为特征，在治疗两周后死亡。
