Veluchamy Manikandasamy, Basheer Ahamed Ashiq Zindha
Neonatology, Ahalia Hospital, Mussafah, Abu Dhabi, ARE.
Radiology, Ahalia Hospital, Mussafah, Abu Dhabi, ARE.
Cureus. 2020 Dec 18;12(12):e12137. doi: 10.7759/cureus.12137.
Urinary tract infection (UTI) is the most commonly occurring serious bacterial infection in young infants. Uncircumcised male infants have a higher rate of UTI when compared with circumcised male infants and girls. A prostatic abscess is a very rare clinical variety of UTI, especially in neonates. We present the case of a 15-day-old male neonate who developed a rare variety of urosepsis. The baby was evaluated and found to have a prostatic abscess. Ultrasound of the abdomen showed an enlarged prostate gland with diffuse heterogeneous hypoechogenicity. Magnetic resonance imaging (MRI) of the pelvis showed an enlarged, lobulated prostate with T2 hyperintense signal and T1 hypointense signal and diffusion restriction. The post-contrast images in the pelvis-MRI also showed peripheral rim enhancement suggestive of a prostatic abscess. Urine culture showed growth of methicillin-resistant Staphylococcus aureus (MRSA). The baby was treated with intravenous vancomycin, and pus was drained through a transurethral approach. Phimosis can cause purulence in the prostate. Prostatic abscess usually has a good prognosis in neonates when diagnosed early and appropriate treatment was instituted.
尿路感染（UTI）是婴幼儿中最常见的严重细菌感染。与包皮环切的男婴和女婴相比，未行包皮环切的男婴尿路感染发生率更高。前列腺脓肿是尿路感染中一种非常罕见的临床类型，尤其是在新生儿中。我们报告一例15日龄男婴发生罕见类型的尿脓毒症的病例。该婴儿经评估发现患有前列腺脓肿。腹部超声显示前列腺增大，伴有弥漫性不均匀低回声。骨盆磁共振成像（MRI）显示前列腺增大、呈分叶状，T2加权像呈高信号，T1加权像呈低信号且有弥散受限。骨盆MRI增强扫描图像还显示周边环形强化，提示前列腺脓肿。尿培养显示耐甲氧西林金黄色葡萄球菌（MRSA）生长。该婴儿接受了静脉注射万古霉素治疗，并通过经尿道途径引流脓液。包茎可导致前列腺化脓。新生儿前列腺脓肿如能早期诊断并给予适当治疗，通常预后良好。
