Tuberculosis is one of the most important infectious diseases,
particularly in developing countries. Involvement of the prostate gland is very
rare. We present a 70-year-old man who presented with low back pain and progressive weakness of
the lower limbs associated with irritative lower urinary tract symptoms. Prostate
gland was enlarged, hard and nodular. Prostate specific antigen was 6ng/ml,
Erythrocytes sedimentation rate was 130 mm/hr and Monteux
was positive. Prostate biopsy revealed features of tuberculosis and lumbosacral
radiograph revealed features of Pott’s disease. Diagnosis of disseminated
tuberculosis with prostate involvement was made and patient was placed on
anti-tuberculosis drugs with good response.
References
[1]
K. Akhtar, “Tuberculous Granuloma with Langhan’s Giant Cells in the Prostate,” Kemcolian Journal of Medical Sciences, Vol. 1, No. 1, 2012.
[2]
R. Mittel, R. Sudha, M. Veeraraghavan, et al., “Disseminated Tuberculosis with Involvement of the Prostate—A Case Report,” The Indian Journal of Tuberculosis, Vol. 57, No. 1, 2010, pp. 48-52.
[3]
S. Chandra, H. Chandra, N. Chauhan, et al., “Male Genitourinary Tuberculosis—13 Years’ Experience at a Tertiary Centre in India,” Southeast Asian Journal of Tropical Medicine and Public Health, Vol. 43, No. 2, 2012, pp. 364-369.
[4]
N. Gupta, A. K. Mandal and S. K. Singh, “Tuberculosis of the Prostate and Urethra—A Review,” Indian Journal of Urology, Vol. 24, No. 3, 2008, pp. 388-391.
http://dx.doi.org/10.4103/0970-1591.42623
[5]
L. R. G. Cradon, “Tuberculosis of the Prostate,” The New England Journal of Medicine, Vol. 147, 1902, pp. 17-19.
http://dx.doi.org/10.1056/NEJM190207031470106
[6]
K. Huang, H. Wu, Y. Hsu, et al., “Tuberculosis of the Prostate,” Journal of Urology, Vol. 12, No. 3, 2001.
[7]
R. Klis, D. Mioczkowski and M. Sosnowski, “Tuberculosis of the Prostate—Rare case report,” Urologia Polska, 2006.
[8]
N. Bhargava and S. K. Bhargava, “Primary Tuberculosis of the Prostate,” Indian Journal of Radiology and Imaging, Vol. 13, 2003, pp. 236-237.
[9]
H. Zhang, Y. Xu and R. Liu, “A Rare Case of Prostatic Tuberculosis Accompanied by Prostate Cancer,” BJUI, 2010.
[10]
A. Kostokopoulos, G. Economou and D. Picramenos, “Tuberculosis of the Prostate,” International Urology and Nephrology, Vol. 30, No. 2, 1998, pp. 153-157.
http://dx.doi.org/10.1007/BF02550570
[11]
P. M. Krarup, Z. Kamper-Jorqensen and S. Oster, “Tuberculous Prostatitis in a Previously Healthy Danish Man,” Uqeskrift for Laeqer, Vol. 170, No. 1, 2008, p. 58.
[12]
M. A. Gafur, M. S. Talukder and S. S. Siddiqua, “Tuberculous Prostatitis—A Case Report,” Mymensingh Medical Journal, Vol. 11, No. 1, 2002, pp. 39-41.