J Korean Soc Transplant.  2005 Jun;19(1):74-78.

Prostatic Abscess from Tuberculosis in a Renal Transplant Patient

• Lee YS
• Huh KH
• Kim SI
• Kim YS

Abstract

A prostate abscess caused by tuberculosis is an uncommon disease, even though the incidence of pulmonary tuberculosis in Korea is relatively high. Nevertheless, it is very severe disease with very high mortality rate. This is a case report of 57-year-old renal transplant patient with prostate abscess secondary due to tuberculosis. The patient developed general malaise with fever of 39oC and diarrhea. He underwent trans-rectal ultrasound and abdominal CAT scan examination, which showed an abnormal abscess collection in the prostate. The prostate abscess was drained using ultrasound guided trans-rectal aspiration and catheter insertion. Tuberculosis was confirmed by the pathology and culture studies and anti-tuberculosis chemotherapy was administered as soon as the tissue diagnosis was made. The patient has been doing well with the anti- tuberculosis treatment procedures for 11 months and has maintained baseline graft function with serum creatinine level of 1.6 mg/dL since the treatment. Anti-tuberculosis chemotherapy should be started as soon as possible after diagnosing the prostate abscess caused by tuberculosis in order to save both the patient and graft.

Keyword

Prostate abscess; Tuberculosis; Renal transplant patient

MeSH Terms

Abscess*
Animals
Catheters
Cats
Creatinine
Diagnosis
Diarrhea
Drug Therapy
Fever
Humans
Incidence
Korea
Middle Aged
Mortality
Pathology
Prostate
Transplants
Tuberculosis*
Tuberculosis, Pulmonary
Ultrasonography
Creatinine