Lanjewar D N, Maheshwari M B
Grant Medical College, Sir J. J. Group of Hospitals, Maharashtra, India.
Natl Med J India. 1994 Jul-Aug;7(4):166-7.
Tuberculosis of the prostate is rare and is thought to be either due to haematogenous dissemination or secondary to renal infection. We describe, possibly for the first time, two male patients with the acquired immunodeficiency syndrome who had tuberculous abscesses in the prostate discovered at post-mortem examination. Only one of them had mild urinary symptoms and neither had evidence of urogenital tuberculosis before death. We suggest that in a patient with acquired immunodeficiency syndrome tuberculous infection of the prostate should be sought by microscopic examination of the urine, semen and prostatic fluid obtained after massage.
前列腺结核较为罕见,被认为是血行播散所致或继发于肾脏感染。我们可能首次描述了两名患有获得性免疫缺陷综合征的男性患者,他们在尸检时发现前列腺有结核脓肿。其中只有一人有轻微的泌尿系统症状,两人在死前均无泌尿生殖系统结核的证据。我们建议,对于获得性免疫缺陷综合征患者,应通过对按摩后获取的尿液、精液和前列腺液进行显微镜检查来排查前列腺结核感染。