New Horizons in Translational Medicine,2017,1,1,16.
Introduction: Prostatic abscess is an uncommon complication of acute prostatitis. While these two conditions may have the same symptoms, prostatic abscess diagnosis relay largely on suspicious examination and imaging. In this study, we describe a case of uncommon presentation of prostatic abscess. Case description: A 45-year-old diabetic male presented with history of fever for two months and denied any lower urinary symptoms (LUTS). Digital rectal examination was unremarkable with a normal sized, non tender prostate. Urine analysis results showed leukocytes in excess but no red blood cells. After initiating a fever of unknown origin (FOU) workup, a prostatic abscess was discovered on abdominal ultrasound and confirmed with contrast enhanced CT scan. Once the diagnosis was achieved, intravenous antibiotics were started. The patient underwent a minimal transurethral resection of the prostate (TURP) and deroofing of the abscess with an uneventful recovery period. Conclusion: It is important to consider prostatic abscess in the differ- ential diagnosis of fever of unknown origin since it may be present in an atypical clinical picture.