Blastomycosis of the prostate: a case report and literature review

Morúa, Alejandro García; García, José Antonio Guevara; Sepúlveda, F. Valdes; Salinas, Juan Fermín Lozano; Guerra, Lauro Salvador Gómez

doi:10.1016/s2173-5786(10)70045-7

Cited by 2 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical management of granulomatous prostatitis leads to complications such as bladder neck contracture and requires repeated resection [1]. The current treatment of choice for blastomycosis is itraconazole, except for patients with central nervous system involvement and in cases of life-threatening infection in which amphotericin B should be used [27,32]. In the present case, urinary obstruction was resolved through TURP and itraconazole was also indicated.…”

Section: Discussionmentioning

confidence: 64%

“…It can also simulate bacterial prostatitis, benign hyperplasia, or carcinoma. An abnormal urologic exam can reveal induration of the prostate gland [26,27].…”

Section: Discussionmentioning

confidence: 99%

“…There are only a few reported cases of blastomycosis of the prostate in the literature to our knowledge (less than 10) [27]: one case presented with localized prostate involvement [28], two cases involved the prostate and epididymis [26,29], two cases involved the prostate and skin [30,31], and a final case of systemic dissemination was initially diagnosed by transrectal prostate biopsy [32].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prostatic Blastomycosis: An Infrequent Cause of Granulomatous Prostatitis

Labastida¹,

Quintana²

2016

Fungal Genom Biol

View full text Add to dashboard Cite

Background: Granulomatous prostatitis is an uncommon inflammatory process of the prostate, which in most cases, is nonspecific. Clinical presentation, treatment, and evolution are similar to those of benign prostatic hypertrophy, but this lesion is also a clinical mimicker of prostate. Fungal granulomatous prostatitis is rare and there are only a few reported cases. Clinical case: We report the case of a patient diagnosed with prostatitis blastomycosis. The patient had obstructive and irritative lower urinary tract symptoms, which showed slight improvement the first days of medical treatment. Finally, he underwent transurethral resection of the prostate due to the persistence of the obstructive symptoms. Results: The histopathologic result showed granulomatous prostatitis with features of blastomycosis fungal structures. Diagnosis was confirmed through molecular biology techniques. Conclusion: Despite its low incidence, the diagnosis of fungal granulomatous prostatitis is important to keep in mind, because it can mimic other prostatic pathologies.

show abstract

Section: Discussionmentioning

confidence: 64%

“…It can also simulate bacterial prostatitis, benign hyperplasia, or carcinoma. An abnormal urologic exam can reveal induration of the prostate gland [26,27].…”

Section: Discussionmentioning

confidence: 99%