A Case of a Vesico-Pubic Fistula due to Tuberculous Osteomyelitis of the Pubic Bone

HAYASHI Kenichi, YAMAGUCHI Yukihiro

doi:10.11150/kansenshogakuzasshi.91.568

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Other Title

結核性恥骨骨髄炎による膀胱恥骨瘻孔の1 例
症例第90回日本感染症学会総会学術講演会座長推薦論文結核性恥骨骨髄炎による膀胱恥骨瘻孔の1例
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<p>Skeletal tuberculosis (TB) accounts for 2-3% of all TB cases, and the most common site for skeletal TB is the spine. The pubic bone is an unusual site for skeletal TB. We report herein on a rare case of a vesicopubic fistula due to tuberculous osteomyelitis of the pubic bone. A 66-years-old man was admitted to the department of urology with dysuria and gait disturbance of one weekʼs onset. He was diagnosed as having prostatic cancer and pubic bone metastasis with high prostate specific antigen value and destruction of the pubic bone based on CT findings at the beginning of hospitalization. However, high fever persisted for two weeks and the contrast CT showed a vesico-pubic fistula and prostatic abscess. Mycobacterium tuberculosis was detected from urine culture. He was finally diagnosed as having a vesico-pubic fistula due to tuberculous osteomyelitis of the pubic boneʼsacroiliac joint tuberculosis and a tuberculous prostatic abscess. Surgery and antimycobacterial therapy for 12 months after surgery cured his condition.</p>

Journal

Kansenshogaku Zasshi

Kansenshogaku Zasshi 91 (4), 568-571, 2017-07-20

The Japanese Association for Infectious Diseases

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