A rare presentation of disseminated tuberculosis: Prostatic abscess

Case Report Tuberculosis of The Prostate: Findings of Post Transurethral Resection of Prostate (TURP) Procedure

“…The latent period between the first pulmonary infection and presentation of the UGTB ranges from 1-50 years, 22 years. 6,14,15 and a specificity of 85.7%. 15,18 However, the shortcomings of PCR are limited availability and high cost, thus it is not routinely used in health centers in Indonesia.…”

“…6,14,15 and a specificity of 85.7%. 15,18 However, the shortcomings of PCR are limited availability and high cost, thus it is not routinely used in health centers in Indonesia. Meanwhile, prostate-specific antigen (PSA) levels varied from normal (<4.0 ng/ml) to elevated.…”

“…If the PSA level is elevated, the diagnosis of prostate cancer cannot be ruled out. 7,8,15,18 Important imaging diagnostic modalities for PTB include X-rays, ultrasonography (USG), especially trans-urethral ultrasonography (TRUS), computed tomography scan (CT scan), and magnetic resonance imaging (MRI). The chest X-ray is one of the crucial initial investigations because a patient with PTB can also have active pulmonary TB simultaneously, as in this patient.…”

“…Prostate TRUS examination can show the feature of an enlarged irregular glandular area with a solitary hypoechoic zone (rare) or multiple irregular zones of varying size. 15,18 TB lesions are typically located in the periphery and lateral lobes of the prostate. 3 Imaging examination can aid the diagnostic, but there are still possibilities of overlapping with other pathological lesions of the prostate.…”

“…18 Due to the unusual presentation, almost all cases of PTB were found to be incidental in biopsy specimens from TURP procedure. 15,17 Histopathological examination of PTB shows a typical caseous granuloma consisting of a collection of…”