Melioidosis prostatic abscess: clinical presentation and imaging findings

MR, Razali and Abdul Rashid, Amran and How, Soon Hin and TH, Ng and Che Ahmad, Aminudin and Ab Rahman, Jamalludin (2008) Melioidosis prostatic abscess: clinical presentation and imaging findings. International Medical Journal Malaysia, 7 (1). pp. 1-8. ISSN 1823-4631

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Abstract

Melioidosis, an infection caused by Burkholderia pseudomallei is endemic in South East Asia and Northern Australia. It can affect many organs in the body such as lung, liver, spleen, bone, prostate, brain and soft tissues. Objective: This study aims to detect the presence of prostatic abscess in patients with a positive blood culture for Burkholderia pseudomallei with computed tomography (CT) of the abdomen and pelvis and to correlate it with the clinical presentation. Materials and Methods: This is a prospective observational study conducted in all melioidosis patients who had CT scan of the abdomen and pelvis. The location and size of any focal lesions seen on CT were recorded. Clinical data such as fever and urinary symptoms were also recorded. Results: 15 patients had CT scan of the abdomen and pelvis. Five patients were diagnosed to have prostatic abscess. Out of the five patients, only two had urinary symptoms. The other three had prolonged high grade fever without any urinary symptoms. Conclusions: Melioidosis prostatic abscess is not uncommon in patients with positive blood culture of Burkholderia Pseudomallei (33% in this series). Most patients do not present with any urinary symptoms.

Item Type:	Article (Journal)
Additional Information:	2987/44338
Uncontrolled Keywords:	melioidosis, prostate, prostatic abcess, CT scan
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Miss Noor Shafiruz Ahmad
Date Deposited:	21 Aug 2015 09:51
Last Modified:	01 Feb 2021 09:31
URI:	http://irep.iium.edu.my/id/eprint/44338

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