Abcès prostatique à Brucella

Arab, N. Ben; Maâloul, I.; Bouhlel, A.; Marrekchi, C.; Hammami, B.; Mhiri, Najla; Hammami, Adnène; Jemâa, Mounir Ben

doi:10.1016/j.medmal.2008.01.003

Cited by 1 publication

(3 citation statements)

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“…Brucellosis is a zoonotic allergic disease associated with Brucella spp ., a tiny intracellular bacterium, which is present worldwide and may infect any organ. 1,11,18 The most vulnerable part of the body regarding brucellosis is the osteoarticular system, followed by the genitourinary system. The incidence of reproductive complications with brucellosis is approximately 1.4%–25%.…”

Section: Discussionmentioning

confidence: 99%

“…Brucellosis usually involves the bones and joints, particularly the spine; 9,10 however, this infection is rare, and only a few BPA cases have been published. 11,12 The following reasons explain this lack of published cases. First, the low incidence of brucellosis, even in the osteoarticular system, 13,14 makes it easy to misdiagnose or mistreat.…”

Section: Introductionmentioning

confidence: 99%

“…Second, the clinical manifestations of brucellosis are non-specific, and BPA is no exception. 11,12,15 The great majority of patients with BPA have a low-grade fever, urodynia, and dysuria; there is no specific symptom to distinguish BPA from other urinary tract infections. Third, the pathogenesis is unclear, and some physicians are unaware of the disease.…”

Section: Introductionmentioning

confidence: 99%

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Brucella prostatic abscess: a retrospective study of eight cases and a literature review

Lan

Guo

et al. 2021

J Int Med Res

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Objective To present the clinical characteristics, diagnostics, and treatments for Brucella prostatic abscess (BPA). Methods We retrospectively analyzed eight BPA patients according to their vocations, age, clinical manifestations, laboratory test results, magnetic resonance imaging (MRI) findings, and treatments. Results The median age was 59 years. The most common clinical symptom was fever, followed by dysuria, erectile dysfunction, frequent urination, and urodynia. C-reactive protein (CRP) concentrations were significantly elevated in all patients, and in all by one patient, the erythrocyte sedimentation rate (ESR) was high. Prostate enlargement occurred in 87.5% of the patients. Lesions were located in the prostate peripheral (87.5%) and central zones (100%), with homogenous signals on T1-weighted imaging (T1WI) and a hyperintense signal on short tau inversion recovery (STIR). Patients had a small nodule or multiple nodules, with slight hyperintense to hyperintense signals on T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI). Three patients had pelvic effusion, and seminal vesicle (37.5%), epididymis (12.5%), and bladder (12.5%) infections occurred. All patients received rifampicin and doxycycline with levofloxacin; all lesions had resolved at follow-up ultrasonography. Conclusion Even in epidemic areas, the incidence of BPA is relatively rare. Our findings may increase the understanding of BPA and reduce misdiagnosis and mistreatment.

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Section: Discussionmentioning

confidence: 99%