MELIOIDOTIC PROSTATIC ABSCESS – A CASE REPORT

Revanasiddappa A Kanagali; Raghavendra Kulkarni; A Nagaraj Rao; Suryakant Choubey

Volume : VII, Issue : I, January - 2018

MELIOIDOTIC PROSTATIC ABSCESS – A CASE REPORT

Revanasiddappa A Kanagali, Raghavendra Kulkarni, A Nagaraj Rao, Suryakant Choubey

Abstract :

Melioidosis(Whitmore�s disease) is caused by Burkholderia pseudomallei a Gram negative bacillus. Prostatic abscess due to melioidosis is uncommon and is difficult to diagnose. Our case was a 32 yr old male who presented with history of fever and burning micturition of 10days duration, On examination and CT scan patient was found to have a prostatic abscess. Blood culture showed growth of Burkholderia pseudomallei. He was treated with imipenem plus cilastatin 1gm every 8h . In view of persistent fever he underwent transurethral deroofing of prostate following which he had an uneventful recovery. Melioidosis is often a fatal disease caused by B. pseudomallei. It can form abscess in any organ including prostate. This study should alert the practicing urologist to the rare, yet potentially life threatening cause of prostatitis and prostatic abscess.