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São Paulo med. j ; São Paulo med. j;126(4): 227-228, July 2008. ilus
Article in English | LILACS | ID: lil-494266

ABSTRACT

CONTEXT: Tuberculosis of the prostate has mainly been described in immunocompromised patients. However, it can exceptionally be found as an isolated lesion in immunocompetent patients. CASE REPORT: We report a case of prostatic tuberculosis in a young, healthy and immunocompetent patient with unremarkable findings from intravenous urographic examination. Computed tomography showed an abscess in the prostate and Mycobacterium tuberculosis was isolated in a urine culture. Treatment with isoniazid, rifampin and pyrazinamide was successful.


CONTEXTO: La tuberculosis prostática ha sido principalmente descrita en pacientes inmunodeprimidos. Sin embargo, es excepcional como lesión aislada en pacientes inmunocompetentes. CASO CLINICO: Describimos el caso de un varón sano e inmunocompetente con tuberculosis prostática y hallazgos irrelevantes en la urografía de eliminación realizada. La tomografía computerizada (TC) mostró un absceso en próstata, aislándose en el urocultivo Mycobacterium tuberculosis. El tratamiento con isoniazida, rifampicina y pirazinamida fue exitoso.


Subject(s)
Adult , Humans , Male , Prostatic Diseases/diagnosis , Tuberculosis, Male Genital/diagnosis , Antitubercular Agents/therapeutic use , Immunocompetence , Isoniazid/therapeutic use , Mycobacterium tuberculosis/isolation & purification , Prostatic Diseases/drug therapy , Prostatic Diseases/microbiology , Pyrazinamide/therapeutic use , Rifampin/therapeutic use , Tomography, X-Ray Computed , Tuberculosis, Male Genital/drug therapy
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