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Emphysematous prostatic abscess: case series study and review

期刊

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
卷 16, 期 5, 页码 E344-E349

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.ijid.2012.01.002

关键词

Emphysematous; Prostatitis; Abscess; Diabetes mellitus

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Objectives: To report three cases of emphysematous prostatic abscess (EPA) and review the literature on this rare entity. Methods: All relevant articles published in English over the last 50 years (1961-2011) were identified using a MEDLINE search for keywords 'emphysematous prostatitis' and 'emphysematous prostatic abscess'. A total of 12 patients were evaluated for their age, race, underlying disease, pathogens, diagnosis tool, treatment options, and clinical outcome. Results: EPA is a high mortality disease (25%) and has an association with diabetes mellitus. The most common pathogen in the 12 cases was Klebsiella pneumoniae. Conclusions: The mortality of EPA is higher than that of emphysematous cystitis and emphysematous pyelonephritis. Timely recognition and prompt drainage are very important. (C) 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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