지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 64 - 67 (4page)
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초록· 키워드
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Emphysematous prostatitis is a rare condition that is characterized by gas and abscess accumulation in the prostate. This uncommon but serious disease requires special attention because of its nonspecific presentation such as dysuria, frequency,urgency, fever, acute urinary retension and/or perineal pain. We report here on a case of emphysematous prostatitis that was combined with a liver abscess caused by Klebsiella pneumoniae. A 55-year-old man was admitted due to a 3-day history of urinary retention with a febrile sensation. He had histories of liver cirrhosis and uncontrolled diabetes mellitus. After blood and urine cultures, levofloxacin 500mg was started intravenously. On the third hospital day, he displayed septic shock.
The kidneys-ureters bladder (KUB) X-ray showed pockets of air-accumulation in the lower pelvic cavity, and abdominopelvic computed tomography (CT) with contrast enhancement taken on the third day showed a 5-cm liver abscess with an emphysematous prostate. Intravenous antibiotics was changed to metronidazole 500 mg q.i.d. and cefotaxime 2 g t.i.d. On the sixth day, transurethral resection and drainage were performed under spinal anesthesia. However, the postoperative bleeding continued and hypovolemic shock persisted, which then provoked multiorgan failure. The patient died on the 11th hospital day. K. pneumoniae was cultured from the liver abscess aspirate, blood and prostatic tissue, and the bacteria were sensitive to both levofloxacin and cefotaxime. Emphysematous prostatitis is a difficult to diagnose because of its rarity and nonspecific symptoms. A delayed diagnosis can cause high mortality and morbidity, so making a prompt clinical diagnosis of this condition is essential. Appropriate antibiotics with early adequate incision and drainage are also needed.
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참고문헌 (18)
참고문헌 신청
Bartkowski DP / 1988 / Emphysematous prostatitis and cystitis secondary to Candida albicans / J Urol 139 : 1063 ~ 1065
Cheng DL / 1991 / Septic metastatic lesions of pyogenic liver abscess. Their association with K. pneumoniae bacteremia in diabetic patients / Arch Intern Med 151 : 1557 ~ 15
Cheol-In Kang / 2006 / Community-Acquired versus Nosocomial Klebsiella pneumoniae Bacteremia: Clinical Features, Treatment Outcomes, and Clinical Implication of Antimicrobial
Chung DR / 2007 / Emerging invasive liver abscess caused by K1 serotype K. pneumoniae in Korea / J Infect 54 : 578 ~ 583
Fang CT / 2004 / A novel virulence gene in K. pneumoniae strains causing primary liver abscess and septic metastatic complications / J Exp Med 199 : 697 ~ 705
Cheng DL / 1991 / Septic metastatic lesions of pyogenic liver abscess. Their association with K. pneumoniae bacteremia in diabetic patients / Arch Intern Med 151 : 1557 ~ 15
Cheol-In Kang / 2006 / Community-Acquired versus Nosocomial Klebsiella pneumoniae Bacteremia: Clinical Features, Treatment Outcomes, and Clinical Implication of Antimicrobial
Chung DR / 2007 / Emerging invasive liver abscess caused by K1 serotype K. pneumoniae in Korea / J Infect 54 : 578 ~ 583
Fang CT / 2004 / A novel virulence gene in K. pneumoniae strains causing primary liver abscess and septic metastatic complications / J Exp Med 199 : 697 ~ 705
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