A fatal case of primary melioidotic prostatic abscess: the peril of poor drug compliance
| Autor: | N Norliyana, N Salbiah, Asrul Abdul Wahab, Chuan Hun Ding, S C H Nurzam, K R Rao |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Prostatic Diseases medicine.medical_specialty Burkholderia pseudomallei Melioidosis Ceftazidime Meropenem Medication Adherence Fatal Outcome Lower urinary tract symptoms Internal medicine Diabetes mellitus medicine Prostatomegaly Humans Doxycycline biology Malaysia Middle Aged bacterial infections and mycoses medicine.disease biology.organism_classification Abscess Anti-Bacterial Agents medicine.drug |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 2521-9855 |
| DOI: | 10.47665/tb.37.3.560 |
| Popis: | Primary prostatic melioidosis is a rare presentation of melioidosis even in melioidosis endemic areas. We report a case of a 58-year-old man with underlying diabetes mellitus who presented with a 5-day history of high-grade fever associated with lower urinary tract symptoms. Suprapubic tenderness and tender prostatomegaly were noted on examination. An abdominal computed tomography (CT) scan confirmed the presence of a prostatic abscess. Both blood and prostatic pus cultures grew Burkholderia pseudomallei. He was initially started on intravenous ceftazidime, followed by an escalation to intravenous meropenem. He was discharged home with oral amoxicillin-clavulanate and doxycycline after completing 12 days of meropenem. Unfortunately, his compliance to oral antibiotic therapy was poor, and he succumbed to the disease. |
| Databáze: | OpenAIRE |
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