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Lo CK, Rampersad C, Barr J, Husain S. Less Is More? Two Cases of Cryptococcosis Treated Using Single-dose Liposomal Amphotericin B as Part of Induction Therapy in Solid Organ Transplant Recipients. Transplant Direct 2024; 10:e1648. [PMID: 38817629 PMCID: PMC11139460 DOI: 10.1097/txd.0000000000001648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/08/2024] [Accepted: 03/18/2024] [Indexed: 06/01/2024] Open
Affiliation(s)
- Carson K.L. Lo
- Division of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, ON, Canada
- Transplant Infectious Diseases and Ajmera Transplant Centre, University Health Network, University of Toronto, Toronto, ON, Canada
| | - Christie Rampersad
- Transplant Nephrology and Ajmera Transplant Centre, University Health Network, University of Toronto, Toronto, ON, Canada
- Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Justin Barr
- Department of Abdominal Transplant Surgery, Ajmera Transplant Centre, University Health Network, University of Toronto, Toronto, ON, Canada
| | - Shahid Husain
- Transplant Infectious Diseases and Ajmera Transplant Centre, University Health Network, University of Toronto, Toronto, ON, Canada
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Brehm TJ, Trautner BW, Kulkarni PA. Acute and Chronic Infectious Prostatitis in Older Adults. Infect Dis Clin North Am 2023; 37:175-194. [PMID: 36805012 DOI: 10.1016/j.idc.2022.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Acute and chronic bacterial prostatitis are clinically significant entities that can be difficult to diagnose and appropriately treat. Herein, we review when to suspect these clinical conditions, how to diagnose them, and how to effectively treat them based on the extant literature. Our aim was to equip the practicing clinician with the ability to proficiently diagnose and manage acute and chronic bacterial prostatitis, particularly in older patients.
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Affiliation(s)
- Tyler J Brehm
- Department of Medicine, Section of General Internal Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Barbara W Trautner
- Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA; Department of Medicine, Section of Health Services Research, Baylor College of Medicine, Houston, TX 77030, USA
| | - Prathit A Kulkarni
- Medical Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA; Department of Medicine, Infectious Diseases Section, Baylor College of Medicine, Houston, TX 77030, USA.
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Singh S, Singh M, Bains L, Sagar T. Candida prostatitis: A rare entity. Trop Doct 2022; 53:282-284. [PMID: 36573017 DOI: 10.1177/00494755221147962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Prostatitis may present with lower urinary tract symptoms (LUTS) attributable to acute and chronic bacterial infections (NIH Category I/II) or as asymptomatic inflammatory prostatitis (NIH Category IV). Patients with chronic prostatitis/chronic pelvic pain syndrome, (CP/CPPS, NIH Category III) may present with a wide range of symptoms resulting from varied etiology, however, seldom caused by fungal infections. Occasional case reports have been published on prostatitis due to Candida sp. We report a case of an elderly diabetic patient who underwent perurethral prostatic resection (TURP) for benign prostatic hyperplasia (BPH) and returned with complaints of LUTS and perineal discomfort one month later. After repeat surgery, the TURP chips on histopathology showed features of prostate hyperplasia and prostatitis with numerous hyphae and yeast forms of Candida admixed with acute and chronic inflammatory exudate. After confirmation by special stains and positive urine culture, a final diagnosis of prostatic candidiasis was made.
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Affiliation(s)
- Shabnam Singh
- Senior Resident, Department of Pathology, Maulana Azad Medical College, New Delhi, India
| | - Meeta Singh
- Senior Resident, Department of Pathology, Maulana Azad Medical College, New Delhi, India
| | - Lovenish Bains
- Professor, Department of Surgery, Maulana Azad Medical College, New Delhi, India
| | - Tanu Sagar
- Associate Professor, Department of Microbiology, Maulana Azad Medical College, New Delhi, India
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He S, Luo T, Xie Y, Zhu X, Lei J, Cai L, Deng Z. Pubis Cryptococcal Osteomyelitis in an Immunocompetent Patient: A Case Report and Recent Literature Review. Infect Drug Resist 2022; 15:7369-7375. [DOI: 10.2147/idr.s390881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 12/02/2022] [Indexed: 12/15/2022] Open
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Takada-Owada A, Fuchizawa H, Kijima T, Ishikawa M, Takaoka M, Nozawa Y, Nakazato Y, Kamai T, Ishida K. Cryptococcal Prostatitis Forming Caseous and Suppurative Granulomas Diagnosed by Needle Biopsy: A Case Report. Int J Surg Pathol 2021; 30:586-589. [PMID: 34970926 DOI: 10.1177/10668969211070170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Cryptococcal granulomatous prostatitis is extremely rare, and there have been few reports of its diagnosis by prostate needle biopsy. The patient, an 81-year-old man, was receiving immunosuppressive treatment for rheumatoid arthritis. He had an oropharyngeal ulcer, and it was diagnosed alongside a methotrexate-related diffuse large B-cell lymphoma. A systemic imaging examination revealed a prostatic tumor-like mass clinically suspected to be prostatic cancer, and a needle biopsy was performed. The biopsy specimen showed various types of inflammatory cell infiltration, and suppurative granuloma and caseous granuloma were observed. Both granulomas showed multiple round and oval organisms that were revealed with Grocott methenamine silver staining. Acid-fast bacilli were not detected by Ziehl-Neelsen staining. We histologically diagnosed granulomatous prostatitis caused by Cryptococcus infection. Caseous granulomas often develop in the prostate after bacillus Calmette-Guerin immunotherapy for bladder cancer, although the possibility of cryptococcal granulomatous prostatitis should also be considered.
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Affiliation(s)
- Atsuko Takada-Owada
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | - Hirotaka Fuchizawa
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | - Toshiki Kijima
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | | | - Mina Takaoka
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | - Yumi Nozawa
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | - Yoshimasa Nakazato
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | - Takao Kamai
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
| | - Kazuyuki Ishida
- 12756Dokkyo Medical University, Mibu, Tochigi, Japan.,Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
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