Reproductive system




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A 45-year-old man comes to the office because of pain during urination, in addition to increased urinary frequency and chills. The symptoms have been present since yesterday. He denies any pelvic pain, myalgias or malaise. He has not been sexually active since his spouse died 2 years ago. Past medical history is significant for diabetes mellitus and hypertension for 20 years. Current medications include metformin and amlodipine. Family history is significant for bladder cancer in his deceased father. Temperature is 38.5°C (101.4°F), pulse is 100/minute, and blood pressure is 130/70 mmHg. Digital rectal examination reveals a warm, tender, and boggy prostate. Complete blood profile shows hemoglobin 11 g/L and leukocytes 14,000/mm3. Urinalysis is as follows:  

 Laboratory value  Result 
 Specific gravity  1.013 
 Glucose  Negative 
 Blood  Negative 
 Leukocyte esterase  Positive 
 Nitrites  Positive 
 Leukocytes  10-12/hpf 
 Erythrocytes  1-2/hpf 

What of the following is the most likely etiology of this patient’s condition?

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Escherichia coli p. , 143

prostatitis p. 678

Prostatitis p. 678

gonorrhea p. 180


Prostatitis is inflammation of the prostate gland, which can be caused by a bacterial infection, though in many cases the cause is not understood. Prostatitis is classified into four major types. There is acute bacterial prostatitis which occurs when there is a sudden often severe infection of the prostate that's caused by bacteria. There is also chronic bacterial prostatitis characterized by a bacterial recurring or persistent infection. The third type is chronic pelvic pain syndrome characterized by chronic pain and discomfort in the pelvic area without signs of infection. Last but not least, there is asymptomatic inflammatory prostatitis, which is an inflammation of the prostate that typically presents with no symptoms. Treatment depends on the type and can include medications like antibiotics, anti-inflammatory drugs, and alpha-blockers.


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