A Case of Tuberculous Prostatitis with Abscess
- Affiliations
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- 1Department of Urology, Soon Chun Hyang University College of Medicine, Seoul, Korea. yssong@schmc.ac.kr
- 2Department of Anesthesiology, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- 3Department of Pathology, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- 4Department of Radiology, Soon Chun Hyang University College of Medicine, Seoul, Korea.
Abstract
- We present a case of acute prostatitis with abscess. The patient had undergone intravesical bacillus Calmette-Guerin (BCG) immunotherapy for bladder cancer. A prostate biopsy demonstrated tuberculous prostatitis with abscess. This case illustrates that when bladder cancer is treated with BCG, a tuberculous prostate abscess can develop.
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Figure
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Fig. 1 Monitoring granulomatous prostatic tubercular abscess after bacillus Calmette-Guérintreatment during anti-tuberculous medication using computed tomography (CT). (A) A CT scan showed a round low density lesion in the right lobe of the prostate (arrow). (B) A CT scan showed the disappearance of the previously noted low density lesion in the right lobe of the prostate (arrow).
Fig. 2 Histopathology showed granulomatous inflammation with caseating necrosis in the right lobe of the prostate. (A) A low power microphotograph showing the destruction of glandular architecture by inflammatory lesions with caseating necrosis (H&E stain,×200). (B) A high power microphotograph consisting of epithelioid cells and multinucleated giant cells displaying chronic granulomatous inflammation (H&E stain, ×400). (C) A Ziehl- Neelsen stain, known as the acid-fast stain, discloses the mycobacterium species (×1,000). Acid-fast bacilli are indicated by arrow.
Reference
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