Article

International Urology and Nephrology

, Volume 26, Issue 5, pp 535-540

First online:

Cytomegalovirus prostatitis

Case report and review of the literature
  • T. C. McKayAffiliated withDepartment of Urology, Loyola University Medical Center
  • , D. M. AlbalaAffiliated withDepartment of Urology, Loyola University Medical Center
  • , K. SendelbachAffiliated withDepartment of Pathology, Loyola University Medical Center
  • , P. GattusoAffiliated withDepartment of Pathology, Loyola University Medical Center

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Abstract

We report the case of a patient undergoing chemotherapy for multiple myeloma discovered to have cytomegalovirus prostatitis. The findings of a hypoechoic prostatic lesion on ultrasound and a slightly elevated prostatic specific antigen of 4.6 ng/ml prompted a prostate biopsy. Cytopathologic examination and immunohistochemical staining demonstrated cytomegalovirus within the prostate. This virus is a common pathogen in the immunosuppressed patient, but its presence in the male genital tract is relatively rare. No previous reports of biopsy-proven cytomegalovirus prostatitis appear in the literature. The relationship of cytomegalovirus to the prostate is discussed in detail.