[An abscessed granulomatous prostatitis]. / Une prostatite granulomateuse abcédée.
Rev Med Interne
; 41(8): 562-566, 2020 Aug.
Article
en Fr
| MEDLINE
| ID: mdl-32674890
ABSTRACT
INTRODUCTION:
Prostatic abscesses are usually diagnosed in the setting of bacterial prostatitis. Rarely, they reveal or complicate granulomatous prostatitis. CASE REPORT A 55-year-old man was admitted for acute urinary retention. Urine culture was sterile, with leukocyturiaâ¯>â¯106/ml. After failure of antibiotic therapy with cefotaxime, CT scan revealed a necrotic prostatic collection and a nodular non-necrotic tissular lesion in the left upper lung lobe. Trans-rectal drainage of the prostatic lesion and lung biopsies revealed granuloma with multinucleated giant cells (without mycobacteria). The diagnosis of granulomatosis with polyangiitis was confirmed by high level of anti-proteinase 3 antibodies. Treatment with steroids and rituximab resulted in apyrexia, regression of the inflammatory syndrome and clinical manifestations.CONCLUSION:
The diagnosis of granulomatosis with polyangiitis should be considered in the presence of a non-infectious granulomatous prostatitis with systemic involvement.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Prostatitis
/
Granulomatosis con Poliangitis
/
Absceso
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Idioma:
Fr
Revista:
Rev Med Interne
Año:
2020
Tipo del documento:
Article