Melioidotic prostatic abscess in Pahang.
Melioidosis is caused by Burkholderia pseudomallei, a Gram-negative bacillus. Melioidosis can affect many organs, including the prostate. However, prostatic abscess due to melioidosis is uncommon. We describe five cases of melioidosis with prostatic abscess. Four of five patients had diabetes mellitus and had more than one organ involvement. The diagnosis of prostatic abscess in our patients was only made with computed tomography of the abdomen and pelvis. None of our patients underwent surgical drainage and all remained well after treatment with antibiotics, except for one mortality secondary to severe septicaemia.
Department of Internal Medicine, Faculty of Medicine, International Islamic University Malaysia, PO Box 141, Kuantan 27510, Malaysia. ngteckhan@hotmail.com
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Ng
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How
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Amran
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Razali
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Kuan
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D008296:Malaysia; D008297:Male; D055118:Medication Adherence; D008554:Melioidosis / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D011469:Prostatic Diseases / Q000175:diagnosis* / Q000188:drug therapy; D012008:Recurrence; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents