title: Miliary tuberculosis following transrectal ultrasonography (TRUS)-guided prostate biopsy.
abstract: Miliary tuberculosis (TB) after transrectal ultrasonography (TRUS)-guided prostate biopsy is an extremely rare complication. A 75-year-old patient who presented with high fever and cough following TRUS-guided prostate biopsy for his high serum prostate-specific antigen (PSA) level (13.104 ng/ml) was diagnosed with miliary TB after clinical, laboratory, and radiological assessments. Histopathological examination of the prostate revealed TB with acid-fast bacilli. He was treated with chemotherapy for 9 months. The patient is now symptom-free, and his post-treatment PSA level was 5.023 ng/ml. This case is reported to acknowledge the possibility that miliary TB can occur as a complication of prostate biopsy if the patient suffers from prostate TB.
authors.affiliation: Department of Urology, Kohka Public Hospital, Kohka, Japan. cj-kim@belle.shiga-med.ac.jp
authors.forename: Chul Jang
authors.initials: CJ
authors.lastname: Kim
authors.forename: Taichi
authors.initials: T
authors.lastname: Sano
authors.forename: Keita
authors.initials: K
authors.lastname: Takimoto