前立腺マラコプラキアの1例

A CASE OF PROSTATIC MALACOPLAKIA

　59歳男性。尿閉と高熱を主訴に来院。尿培養にてE．coli 10⁵／ml以上を認めた。直腸診などにて前立腺癌の合併も疑われ針生検を施行したところ，前立腺マラコプラキアの病理診断を得た。そこで，抗菌性薬剤とアスコルビン酸による保存的治療を約3ヵ月間施行，良好な治療効果が得られ，1年経過した現在，再発および再燃の徴候は認められない。本邦11例目と思われる前立腺マラコプラキアの1例を報告し，若干の考察を行った。

The patient was a 59 years old male who came to our hospital complaining of a high fever and urinary retention. E. coli in an amount of 10⁵/ml were detected in urine culture. Rectal examination disclosed the prostate was swollen to the size of child's fist and was totally hard, non-elastic and parti-ally indurated with tenderness. In ultrasonography, a mixed echogenicity of the prostate was found. Therefore, complication of prostatic cancer together with prostatitis was suspected and a needle biopsy was performed.