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タイトル: | 敗血症, 感染性心内膜炎, 化膿性脊椎炎を合併した前立腺膿瘍の1例 |
その他のタイトル: | A Case of Prostate Abscess with Sepsis, Infectious Endocarditis and Pyogenic Spondylitis |
著者: | 松本, 穣 重村, 克巳 山道, 深 中野, 雄造 三宅, 秀明 田中, 一志 荒川, 創一 藤澤, 正人 |
著者名の別形: | Matsumoto, Minori Shigemura, Katsumi Yamamichi, Fukashi Nakano, Yuzo Miyake, Hideaki Tanaka, Kazushi Arakawa, Soichi Fujisawa, Masato |
キーワード: | Prostate abscess Sepsis Infectious endocarditis Pyogenic spondylitis |
発行日: | Oct-2012 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 58 |
号: | 10 |
開始ページ: | 565 |
終了ページ: | 568 |
抄録: | A 65-year-old man with diabetes mellitus (DM) presented with an indwelling urethral catheter placed for urinary retention by his previous doctor. Thereafter, he had fever, vomiting and general fatigue. His blood examination showed severe inflammatory findings. He was diagnosed with acute prostatitis and immediately admitted to our hospital. Pelvic computerized tomography (CT) showed a prostate abscess. We performed transrectal ultrasonographic-guided puncture of the prostate abscess for drainage and blood culture was tested. Methicillin-sensitive Staphylococcus aureus (MSSA) was cultured from the puncture fluid and blood. We administered antibiotics with strict control of DM. After the prostate abscess improved and the urethral catheter was removed, the patient was systematically examined for potential sepsis-related disease caused by MSSA septic infection. Magnetic resonance imaging (MRI) of the head indicated multiple cerebral infarction, abdominal CT indicated splenetic infarction, ultrasonography of the heart indicated vegetation on the mitral valve and aortic valve, and chest X-ray indicated pulmonary congestion. Furthermore, MRI of the lumbar spine showed a high intensity lesion at the 4th and 5th lumbar spine, indicating pyogenic spondylitis. We diagnosed prostate abscess with sepsis, infectious endocarditis, congestive heart failure and pyogenic spondylitis. Aortic valve replacement, mitral annuloplasty, tricuspid valvuloplasty and ovale hole closure surgeries were performed to treat these conditions. |
著作権等: | 許諾条件により本文は2013-11-01に公開 |
URI: | http://hdl.handle.net/2433/164989 |
PubMed ID: | 23235281 |
出現コレクション: | Vol.58 No.10 |
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