Sepsis secondary to Cowper's gland abscess

Cowper’s Glands Abscess with Spreading to Adjacent Organs and Tissues with Development of Septic Shock: An Extremely Rare Case

“…1,3 The inflammatory process is most often associated with infections of the genitourinary system (Escherichia coli, Pseudomonas aeruginosa, Neisseria gonorrhoea, and Chlamydia trachomatis). 1,[3][4][5][6][7] Besides, a provoking factor in the development of cowperitis and bulbourethral abscesses in men is prostate biopsy or transurethral interventions. The main clinical manifestations of such conditions are high body temperature, pain in the perineal region, and stranguria.…”

“…The main clinical manifestations of such conditions are high body temperature, pain in the perineal region, and stranguria. 4,6,7 For instrumental confirmation of the presence of a paraurethral abscess, for differential diagnosis of complications in the form of syringocele, and to exclude the presence of a fistulous passage from adjacent cellular spaces of the pelvis, ultrasound of the perineum and small pelvis, ascending urethrography, and MRI of the pelvic organs should be performed. [3][4][5] The treatment of bulbourethral abscesses consists of a puncture and drainage of a purulent focus with the prescription of antibacterial agents according to urine culture and the contents of the purulent cavity.…”

“…[3][4][5] The treatment of bulbourethral abscesses consists of a puncture and drainage of a purulent focus with the prescription of antibacterial agents according to urine culture and the contents of the purulent cavity. 1,6,7 The literature describes the only case of the development of a bulbourethral abscess with the development of sepsis in a patient who was diagnosed with an abscess recurrence in more than one year and successfully treated with transperineal surgical puncture and intensive antibiotic therapy. 6,7 The development of septic shock with unstable haemodynamics in patients with the presence of a purulent focus remains a life-threatening condition and requires immediate measures, including accurate diagnosis of the localization and extent of the spread of the purulent process, assessment of the state of vital organs, stabilization of haemodynamic parameters, sanitation and drainage of a purulent focus, intensive therapy maintenance of vital organs and prevention of complications.…”

“…1,6,7 The literature describes the only case of the development of a bulbourethral abscess with the development of sepsis in a patient who was diagnosed with an abscess recurrence in more than one year and successfully treated with transperineal surgical puncture and intensive antibiotic therapy. 6,7 The development of septic shock with unstable haemodynamics in patients with the presence of a purulent focus remains a life-threatening condition and requires immediate measures, including accurate diagnosis of the localization and extent of the spread of the purulent process, assessment of the state of vital organs, stabilization of haemodynamic parameters, sanitation and drainage of a purulent focus, intensive therapy maintenance of vital organs and prevention of complications. [8][9][10][11] As shown in this study, with the development of septic shock, symptoms of intoxication begin to predominate and manifest themselves up to unstable haemodynamics in the clinical picture.…”

Rare prostate cancer mimic on multiparametric MRI: Cowper's gland hyperplasia

“… 3 A local inflammatory process referred to as Cowperitis has also been reported and is rare, occasionally progressing to sepsis. 4 Cowper's gland calcifications have been reported in elderly patients. Proposed etiologies for calcifications include ductal obstruction with stasis of secretions, infection with urea-splitting organisms, and sequelae of diabetes mellitus.…”