Lu D C, Lei M H, Chang S C
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Republic of China.
Diagn Microbiol Infect Dis. 1998 Aug;31(4):559-61. doi: 10.1016/s0732-8893(98)00032-7.
Prostatic abscess is an unusual occurrence in the era of modern antibiotics. We report a rare case of emphysematous prostatic abscess owing to Klebsiella pneumoniae in a 45-year-old man with a 10-year history of alcoholism and a 6-year history of diabetes mellitus. Prostatic abscess is a difficult clinical diagnosis without specific symptoms and signs. Computerized tomography can assist in making the diagnosis of emphysematous prostatic abscess. Definitive treatment is complete surgical drainage and the use of effective antibiotics.
在现代抗生素时代,前列腺脓肿是一种不常见的病症。我们报告了一例罕见的因肺炎克雷伯菌引起的气肿性前列腺脓肿病例,患者为一名45岁男性,有10年酗酒史和6年糖尿病史。前列腺脓肿若无特定症状和体征,临床诊断较为困难。计算机断层扫描有助于气肿性前列腺脓肿的诊断。明确的治疗方法是完全手术引流并使用有效的抗生素。