La tuberculose prostatique. À propos de 2 cas

Benchekroun, A; Iken, Ali; Qarro, A.; Aelalj, H; Nouini, Yassine; Benslimane, Lounis; Belahnech, Z; Jira, H; Kasmaoui, H.; Marzouk, M; Faïk, M

doi:10.1016/s0003-4401(03)00032-9

Cited by 13 publications

(15 citation statements)

References 5 publications

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“…The Genitourinary tuberculosis represents 10-14% of all locations of extra-pulmonary tuberculosis [ 1 ]. Prostate localization, especially if it is isolated, is rare [ 2 , 3 ]. It's first described in 1882 by Jasmin [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prostate localization, especially if it is isolated, is rare [ 2 , 3 ]. It's first described in 1882 by Jasmin [ 2 ]. Its incidence is estimated at 6.6% of the urogenital tuberculosis according Scotch Brady Urological Institute in Baltimore [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…It's first described in 1882 by Jasmin [ 2 ]. Its incidence is estimated at 6.6% of the urogenital tuberculosis according Scotch Brady Urological Institute in Baltimore [ 2 ]. The prostatic achievement is often secondary to tuberculosis of the upper urinary tract [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

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Tuberculous prostatitis: mimicking a cancer

Aziz¹,

Khallouk²,

Hassan³

2016

Pan Afr Med J

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Genitourinary tuberculosis is a common type of extra-pulmonary tuberculosis . The kidneys, ureter, bladder or genital organs are usually involved. Tuberculosis of the prostate has mainly been described in immune-compromised patients. However, it can exceptionally be found as an isolated lesion in immune-competent patients. Tuberculosis of the prostate may be difficult to differentiate from carcinoma of the prostate and the chronic prostatitis when the prostate is hard and nodular on digital rectal examination and the urine is negative for tuberculosis bacilli. In many cases, a diagnosis of tuberculous prostatitis is made by the pathologist, or the disease is found incidentally after transurethral resection. Therefore, suspicion of tuberculous prostatitis requires a confirmatory biopsy of the prostate. We report the case of 60-year-old man who presented a low urinary tract syndrome. After clinical and biological examination, and imaging, prostate cancer was highly suspected. Transrectal needle biopsy of the prostate was performed and histological examination showed tuberculosis lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tuberculous prostatitis: mimicking a cancer

Aziz¹,

Khallouk²,

Hassan³

2016

Pan Afr Med J

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“…mainly made of an obstructive symptom[5]. Our patient did not have any clinical manifestations and no other tuberculosis localization was found.Rectal examination often shows an increase in prostate volume, with an elastic, firm, nodular or stony consistency.…”

mentioning

confidence: 50%

Tuberculosis of Exceptional Location in a Haemodialysis Patient

Koné¹,

Fares²,

Houem³

et al. 2019

OJNeph

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Background: Chronic haemodialysis patients present a lack of immunity responsible for a high incidence of tuberculosis of atypical and non-pulmonary localizations. Observation: We present a clinical case of a haemodialysis patient that presents an isolated localisation of prostate tuberculosis. He had no clinical signs but had laboratory findings of inflammatory syndrome and high Prostatic Antigen (PSA) level. The diagnosis was made by histopathologic study of the piece of prostatectomy. The patient received a six-month treatment with an initial two-month phase involving four anti-tuberculosis drugs (Rifampicin, Isoniazid, Ethambutol and Pyrazinamid) followed by a four-month maintenance phase involving two drugs (Isoniazid and Rifampicin). All drugs were adapted to his dialysis condition. We noticed no side effects of drugs. Conclusion: Clinical signs of prostatic tuberculosis are not specific, mainly made of an obstructive symptom. The diagnosis of prostatic tuberculosis is based on a bundle of clinical and biological arguments. Koch Bacilli (KB) can rarely be found in urine or sperm. In haemodialysis patient, it can be masked by non specific aspect of inflammatory syndrome. The management must be adjusted and a close following up of side effects is necessary.

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“…In fact, during the past 15 years, the age extremes of immune competent patients with prostatic tuberculosis ranged from 26 to 85 years [3].…”

Section: Discussionmentioning

confidence: 99%