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Tuberculosis of the Prostate: Report of a Rare Case With Unusual Presentation

Chandra, Smita MD*; Gaur, Dushyant Singh MD*; Chandra, Harish MD*; Vijjan, Vivek MCh†; Pathak, Ved Prakash MD*

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e318198db12
Case Reports
Abstract

Tuberculosis of the prostate is considered to be a rare disease, and of all the cases of genitourinary tuberculosis, prostatic tuberculosis is much less common in comparison to renal, seminal, and epididymal tuberculoses. It is usually associated with nonspecific symptoms and is detected incidentally after transurethral resection. Sometimes, it may present like acute bacterial infection with high-grade fever and multiple abscesses that is usually seen only in cases of acquired immunodeficiency syndrome. However, the present case showed the previously mentioned features in a human immunodeficiency virus-negative individual and thus creating the diagnostic dilemma. It highlights the facts that prostatic tuberculosis can have a varied presentation and prostatic biopsy with the demonstration of acid-fast bacilli is the criterion standard for diagnosis of this disease.

Author Information

From the Departments of *Pathology and †Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Doiwala, Dehradun, Uttarakhand, India.

Reprints: Smita Chandra, MD, Department of Pathology, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Doiwala, Dehradun 248140, Uttarakhand, India. E-mail: smita_harish@yahoo.com.

© 2009 Lippincott Williams & Wilkins, Inc.