Emphysematous Prostatitis with an Abscess in a Hemodialysis-Dependent Patient with End-Stage Kidney Disease: A Case Report
10.3904/kjm.2024.99.4.219
- Author:
Jiyae YI
1
;
Yoo Jin LEE
;
Sihyung PARK
;
Yang Wook KIM
;
Bong Soo PARK
;
Tae-Hoon NO
;
Chang Min HEO
Author Information
1. Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
- Publication Type:3
- From:Korean Journal of Medicine
2024;99(4):219-223
- CountryRepublic of Korea
- Language:Korean
-
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.
