Prostatic abscess in a patient with chronic granulomatous disease: a multi-disciplinary intervention
In press - Corrected proof
Article Type: CASE REPORT
AuthorsAlberto Martini, Ioannis Katafigiotis, Sofia Kalantzi, Ioannis Anastasiou, Ioannis Adamakis, Aggelos Toskas, Constantinos A. Constantinides
Chronic granulomatous disease (CGD) is a rare pathology that increases patients’ susceptibility to infections, given the inability to generate oxygen radicals to fight microorganisms.
In the context of CGD, primary prostatic involvement has been described only once in the past, in a pediatric patient.
We report the case of a 35-year old patient with CGD presenting with persistent fever. After hospital admission, blood and urine were sent for culture and antibiotic therapy was initiated. Patient´s conditions continued to deteriorate and an aggressive antibiotic therapy was administered to treat the septic scenario. Urine culture grew a multidrug-resistant
To the best of our knowledge, this is the first case of septic shock originating from a prostatic abscess in an adult patient with CGD.
Aggressive medical therapy along with TURP resulted curative in our case. A multi-disciplinary approach was mandatory.
- • Accepted on 20/12/2016
- • Available online on 08/02/2017
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- Martini, Alberto [PubMed] [Google Scholar] 1, 2, * Corresponding Author (firstname.lastname@example.org)
- Katafigiotis, Ioannis [PubMed] [Google Scholar] 2
- Kalantzi, Sofia [PubMed] [Google Scholar] 3
- Anastasiou, Ioannis [PubMed] [Google Scholar] 2
- Adamakis, Ioannis [PubMed] [Google Scholar] 2
- Toskas, Aggelos [PubMed] [Google Scholar] 3
- Constantinides, Constantinos A. [PubMed] [Google Scholar] 2
Department of Urology, University of Florence, Careggi Hospital, Florence - Italy
First University Urology Clinic, Laiko Hospital, Athens - Greece
First Department of Propaedeutic Medicine, Laiko Hospital, Athens - Greece