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Case Report

Tuberculous Prostate Abscesses in an Immunocompetent Patient: A Dramatic Presentation of Disseminated Tuberculosis

by
Matthew G. Johnson
1,2,*,
Caralee E. Caplan-Shaw
1 and
Michelle McMacken
1
1
New York Langone Medical Center, Department of General Internal Medicine, New York, NY, USA
2
Duke University Medical Center, 315 Trent Drive, Durham, NC 27710, USA
*
Author to whom correspondence should be addressed.
GERMS 2014, 4(2), 41-45; https://doi.org/10.11599/germs.2014.1054
Submission received: 18 February 2014 / Revised: 25 March 2014 / Accepted: 3 April 2014 / Published: 2 June 2014

Abstract

Genitourinary tuberculosis (TB) is infrequently reported in the United States, but is a common form of extrapulmonary TB that often goes unnoticed due to its insidious and sometimes asymptomatic presentation. Prostate involvement and the development of tuberculous prostatic abscesses have been reported in the literature largely in association with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS). We report a case of disseminated TB involving tuberculous prostatic abscesses in a patient without HIV/AIDS, presenting with sepsis and urinary symptoms. This patient had simultaneous prostatic, peritoneal, pulmonary, and likely renal TB, serving as a reminder to clinicians that multi-organ presentations of TB do occur in patients without overt immunosuppressive conditions. This case also highlights the importance of considering the diagnosis of genitourinary TB in patients with risk factors for TB presenting with vague, long-standing urinary symptoms.
Keywords: tuberculosis; prostate; abscess; genitourinary system tuberculosis; prostate; abscess; genitourinary system

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MDPI and ACS Style

Johnson, M.G.; Caplan-Shaw, C.E.; McMacken, M. Tuberculous Prostate Abscesses in an Immunocompetent Patient: A Dramatic Presentation of Disseminated Tuberculosis. GERMS 2014, 4, 41-45. https://doi.org/10.11599/germs.2014.1054

AMA Style

Johnson MG, Caplan-Shaw CE, McMacken M. Tuberculous Prostate Abscesses in an Immunocompetent Patient: A Dramatic Presentation of Disseminated Tuberculosis. GERMS. 2014; 4(2):41-45. https://doi.org/10.11599/germs.2014.1054

Chicago/Turabian Style

Johnson, Matthew G., Caralee E. Caplan-Shaw, and Michelle McMacken. 2014. "Tuberculous Prostate Abscesses in an Immunocompetent Patient: A Dramatic Presentation of Disseminated Tuberculosis" GERMS 4, no. 2: 41-45. https://doi.org/10.11599/germs.2014.1054

APA Style

Johnson, M. G., Caplan-Shaw, C. E., & McMacken, M. (2014). Tuberculous Prostate Abscesses in an Immunocompetent Patient: A Dramatic Presentation of Disseminated Tuberculosis. GERMS, 4(2), 41-45. https://doi.org/10.11599/germs.2014.1054

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