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Factors of Progression to Chronic Infections from Acute Bacterial Prostatitis
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Byung Il Yoon, Seol Kim, Tae Seung Shin, U-Syn Ha, Dong Wan Sohn, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2011;6(2):178-185. Published online October 31, 2011
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 Abstract
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- "Purpose: We conducted a retrospective analysis of acute bacterial prostatitis (ABP) to evaluate the factors of progressing to chronic bacterial prostatitis (CBP) and inflammatory chronic pelvic pain syndrome (CPPS) from ABP. Materials and Methods: The clinical records of 480 cases compatible with a confirmed diagnosis of ABP from five urological centers between 2001 and 2010 were reviewed. We defined chronic infection (CI) as a progression to CBP and inflammatory CPPS after treatment of ABP in admission periods when followed-up at 3 months or more. Results were analyzed according to two groups: recovered without CI (group A, n=428) and developed to CI (group B, n=52). Results: Of the 480 ABP patients, 1.3% (6/480) progressed to CBP and 9.6% (46/480) progressed to inflammatory CPPS. The progression rate of CI was 10.9% (52/480). The factors that affected progress to CI were diabetes, prior manipulation, prostate volume, absence of cystostomy and urethral catheterization (p<0.05). Conclusions: The identification and characterization of influential factors may accelerate the development of preventive, diagnostic and therapeutic strategies for the treatment of CI from ABP."
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Septic Shock Caused by Pancreatic Injury after Radical Nephrectomy
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Dong-Wan Sohn, Tae Seung Shin, Sung Dae Kim, U-shin Ha, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2009;4(1):93-95. Published online April 30, 2009
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Abstract
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- A 66-year-old female patient presented with right upper quadrant pain for 3months. Preoperative computed tomography, magnetic resonance imaging, and laboratory tests were not consistent with findings of pheochromocytoma, but rather tumor originating from renal cortex. Pathology revealed pheochromocytoma and pancreatic injury was suspected after the surgery. Septic condition persisted despite of proper antibiotics, drainage, and octreotide therapy. Patient died on 8th day after radical nephrectomy. We report a morbid complication of pancreatic injury leading to septic shock and to death.
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