Barash Ashley, Stern Evan, Hoelle Robyn
North Florida Regional Medical Center, Department of Graduate Medical Education, Gainesville, Florida.
UCF/HCA Healthcare GME Consortium of North Florida, Department of Emergency Medicine, Gainesville, Florida.
Clin Pract Cases Emerg Med. 2021 Nov;5(4):436-439. doi: 10.5811/cpcem.2021.7.52639.
Acute bacterial prostatitis is characterized by acute inflammation of the prostate gland accompanied by the presence of pain and other urinary tract or systemic symptoms. Prostatitis is a relatively common disease of the urinary tract in men, However, this case reports a man diagnosed with acute bacterial prostatitis with an unusual presentation, as well as an unusual pathogen and a unique mechanism of colonization.
A 52-year-old male with no past medical history presented to our facility for right-sided buttock pain associated with dysuria, diarrhea, and perianal burning. The patient was diagnosed with sepsis secondary to acute bacterial prostatitis, and the pathogen identified in his urine was Aeromonas hydrophila/A. caviae. His disease process was later recognized as a complication of the use of a P-valve condom catheter while freshwater cave diving.
This is the first documented case of prostatitis as a result of the use of a P-valve condom catheter while diving. Furthermore, the pathogen identified is of particular interest as there are very few documented cases of urosepsis secondary to Aeromonas hydrophila or A. caviae.
急性细菌性前列腺炎的特征是前列腺急性炎症,并伴有疼痛及其他泌尿系统或全身症状。前列腺炎是男性泌尿系统相对常见的疾病。然而,本病例报告了一名被诊断为急性细菌性前列腺炎的男性,其表现不寻常,病原体也不常见,且存在独特的定植机制。
一名无既往病史的52岁男性因右侧臀部疼痛伴排尿困难、腹泻和肛周灼痛前来我院就诊。该患者被诊断为继发于急性细菌性前列腺炎的败血症,其尿液中鉴定出的病原体为嗜水气单胞菌/豚鼠气单胞菌。后来发现他的病情是淡水洞穴潜水时使用P型阀避孕套导管所致的并发症。
这是首例有记录的潜水时使用P型阀避孕套导管导致前列腺炎的病例。此外,所鉴定出的病原体特别引人关注,因为继发于嗜水气单胞菌或豚鼠气单胞菌的泌尿道败血症的记录病例非常少。