• Title/Summary/Keyword: Acute bacterial prostatitis

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A Case of Korean Medicine Treatment for a Patient with Acute Bacterial Prostatitis Who Did Not Improve with Antibiotics (항생제 치료 후 호전되지 않은 급성 세균성 전립선염 환자의 한의학적 치험 1례)

  • Eun-ji Kim;Hye-ri Bae;Nam-hun Lee
    • The Journal of Internal Korean Medicine
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    • v.43 no.6
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    • pp.1247-1254
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    • 2022
  • Objectives: The purpose of this study was to report the clinical effects of pharmacopuncture, acupuncture, and ohrimsan on prostatitis that was not improved by antibiotics. Methods: The patient underwent So-Yeom pharmacopuncture injection, acupuncture, and ohrimsan. A numerical rating scale (NRS) was used to obtain a sense of residual urine and the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to evaluate the treatment effects. Results: NRS for the sense of residual urine decreased from 70 before treatment to 0 after treatment. The NIH-CPSI was 19 on the first day of admission and decreased to 8 on the day of discharge. No side effects were observed after treatment. Conclusions: The traditional Korean medicine of pharmacopuncture, acupuncture, and ohrimsan is effective for treating prostatitis that is not improved by antibiotics.

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;Yoo Jin Lee;Sihyung Park;Yang Wook Kim;Bong Soo Park;Tae-Hoon No;Chang Min Heo
    • The Korean Journal of Medicine
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    • v.99 no.4
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    • pp.219-223
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    • 2024
  • 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.