POSTERIOR PERIURETHRAL ABSCESSES DUE TO NEISSERIA GONORRHOEAE POSED DIAGNOSTIC DIFFICULTIES
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- Minowa Tadaaki
- Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
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- Nemoto Kaoru
- Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
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- Yanagi Masato
- Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
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- Miura Tsuyoshi
- Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
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- Tsuboi Narumi
- Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
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- Kondo Yukihiro
- Department of Urology, Nippon Medical School Hospital
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- Suzuki Yasutomo
- Department of Urology, Nippon Medical School Chiba Hokusoh Hospital
Bibliographic Information
- Other Title
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- 診断治療に難渋した淋菌性後部尿道周囲膿瘍
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Abstract
<p>Posterior periurethral abscesses due to Neisseria gonorrhoeae are rare and thus difficult to diagnose and treat. We diagnosed this type of abscess using MRI and treated it conservatively.</p><p>A 27-year-old man presented with perineal discomfort that had persisted for 1 week. Physical and CT findings indicated a prostate abscess, but MRI after admission revealed a multilocular mass in the posterior periurethra and polymerase chain reaction was positive for Neisseria gonorrhoeae. The posterior periurethral abscess was treated with Ceftriaxone and drainage via a cystostomy. This strategy improved the inflammation and CT confirmed the disappearance of the abscess from start of therapy in 43 days.</p>
Journal
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- The Japanese Journal of Urology
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The Japanese Journal of Urology 109 (4), 237-240, 2018-10-20
THE JAPANESE UROLOGICAL ASSOCIATION