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KMID : 0616620090150020045
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Journal of Soonchunhyang Medical College
2009 Volume.15 No. 2 p.45 ~ p.50
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Chlinical Characteristics of Prostate Abscess in a University Hospital
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Song Woo-Jin
Lee Eun-Jung
Kim Tae-Hyong
Lee Sang-Heon
Seo Hyun-Jung
Shin Jin-Hee
Shim Ji-Hoon
Shim Hyun-Jin
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Abstract
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Background:Prostatic abscess is an uncommon, the presenting symptoms are non-specific. But it is potentially serious disorder with a mortality rate of 3 to 16%, the early diagnosis and appropriate use of effective antibiotics with drainge is important.
Methods:we retrospectively reviewed 6 cases of prostatic abscess treated during an 5-year period at an university hospital in Korea.
Results:Most of patients were elderly (mean age, 68 years) with hypertension (2, 33%), benign prostatic hypertrophy (2, 33%) or diabetes mellitus (1, 17%). The symptoms were myalgia (67%), fever (50%), dysuria (33%), residual urine sense (33%). All causative pathogens were gram-negative bacilli, including Klebsiella pneumoniae (3, 50%), Klebsiella oxytoca (1, 17%), Escherichia cofi ( I , 17%) and Proteus mirabilis (1, 17%). Five cases (83%) had ampicillin resistance. Two cases had undergone invasive procedures, including tansurethral resection of the prostate, transrectal catheter drainge.
Conclusions:The most common pathogen was Klebsiella pneurnoniae. when old ages had nonspecific urinary symptoms, fever although empirical antibiotics, we should take transurethral ultrasonography, computor tomography for evaluating prostatic abscess.
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KEYWORD
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Prostatic abscess, Klebsiella penumoniae
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