신장이식 받은 환자에서 발생한 전립선 결핵농양 1예

Abstract

A prostate abscess caused by tuberculosis is an uncommon disease, even though the incidence of pulmonary tuberculosis in Korea is relatively high. Nevertheless, it is very severe disease with very high mortality rate. This is a case report of 57-year-old renal transplant patient with prostate abscess secondary due to tuberculosis. The patient developed general malaise with fever of 39oC and diarrhea. He underwent trans-rectal ultrasound and abdominal CAT scan examination, which showed an abnormal abscess collection in the prostate. The prostate abscess was drained using ultrasound guided trans-rectal aspiration and catheter insertion. Tuberculosis was confirmed by the pathology and culture studies and anti-tuberculosis chemotherapy was administered as soon as the tissue diagnosis was made. The patient has been doing well with the anti- tuberculosis treatment procedures for 11 months and has maintained baseline graft function with serum creatinine level of 1.6 mg/dL since the treatment. Anti-tuberculosis chemotherapy should be started as soon as possible after diagnosing the prostate abscess caused by tuberculosis in order to save both the patient and graft.