Immunology of Parasitic Diseases
Q: Compare and contrast the immune responses elicited by Giardia lamblia and Trichomonas vaginalis, and explain how these differences relate to their respective strategies for persistence and pathogenesis.
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A prostatic abscess is a serious complication of untreated or inadequately treated acute bacterial prostatitis. The persistent infection leads to the formation of a localized collection of pus within the prostate gland. Patients may present with worsening fever, chills, severe perineal or rectal pain, and urinary retention. On digital rectal exam, the prostate may feel fluctuant (like a water-filled balloon) in the area of the abscess. Diagnosis is confirmed with imaging, typically transrectal ultrasound or CT scan. Treatment involves drainage of the abscess (often guided by ultrasound) and prolonged intravenous antibiotics. This complication underscores the importance of prompt and appropriate antibiotic therapy for acute prostatitis.
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