The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Emphysematous Prostatitis with an Abscess in a Hemodialysis-Dependent Patient with End-Stage Kidney Disease: A Case Report

혈액 투석 의존성 말기 신부전 환자에서 농양을 동반한 기종성 전립선염: 증례 보고

  • Jiyae Yi (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Yoo Jin Lee (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Sihyung Park (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Yang Wook Kim (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Bong Soo Park (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Tae-Hoon No (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Chang Min Heo (Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine)
  • 이지예 (인제대학교 의과대학 해운대백병원 내과) ;
  • 이유진 (인제대학교 의과대학 해운대백병원 내과) ;
  • 박시형 (인제대학교 의과대학 해운대백병원 내과) ;
  • 김양욱 (인제대학교 의과대학 해운대백병원 내과) ;
  • 박봉수 (인제대학교 의과대학 해운대백병원 내과) ;
  • 노태훈 (인제대학교 의과대학 해운대백병원 내과) ;
  • 허창민 (인제대학교 의과대학 해운대백병원 내과)
  • Received : 2024.01.25
  • Accepted : 2024.03.25
  • Published : 2024.08.01
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Abstract

Emphysematous prostatitis with an abscess is an extremely rare but lethal infection, characterized by the accumulation of gas and purulent exudates. Due to its rarity, severity, and nonspecific presentation, prompt diagnosis and treatment are crucial to achieve favorable clinical outcomes. This report presents a 43-year-old male with hemodialysis-dependent end-stage kidney disease who reported a 3-day history of fever, urinary incontinence, dysuria, and dyspnea. His condition rapidly deteriorated due to septic shock caused by emphysematous prostatitis with an abscess. Following extensive treatment including long-term parenteral antibiotics, polymyxin B hemoperfusion filter treatment, abscess drainage via transurethral resection of the prostate, and suprapubic cystostomy, the patient successfully recovered.

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References

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