Autoři prezentují kazuistiku pacienta s granulomatózní prostatitidou, která byla indukována předchozí léčbou intravezikální aplikací BCG v rámci komplexní léčby povrchového karcinomu močového měchýře. Granulomatózní prostatitida je jednou z možných, málo častých komplikací aplikace BCG. Jejími projevy je i zvýšení PSA a nález uzlů při vyšetření prostaty per rektum, což v rámci diferenciální diagnostiky může činit obtíže při odlišení od karcinomu prostaty.

The authors present a case report of a patient with granulomatous prostatitis that was induced by a previous treatment with intravesical administration of BCG as part of comprehensive management for superficial bladder cancer. Granulomatous prostatitis is one of the possible, uncommon complications of BCG administration. Its manifestations include an elevated PSA level and a finding of nodules on digital rectal examination of the prostate, which may pose a differential diagnostic problem in distinguishing it from prostate cancer.

• Keywords
• intravezikální imunoterapie BCG vakcínou, vedlejší účinky BCG,
• MeSH
• Adjuvants, Immunologic adverse effects   MeSH
• Administration, Intravesical MeSH
• BCG Vaccine * adverse effects   MeSH
• Biopsy MeSH
• Granuloma chemically induced   pathology   MeSH
• Fever immunology   complications   MeSH
• Immunotherapy methods   adverse effects   MeSH
• Humans MeSH
• Urinary Bladder Neoplasms * pathology   therapy   MeSH
• Carcinoma, Papillary pathology   therapy   MeSH
• Prostate-Specific Antigen blood   MeSH
• Prostatitis * chemically induced   pathology   MeSH
• Aged MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Aged MeSH
• Publication type
• Case Reports MeSH

Článek podává ucelený pohled na specifickou problematiku urogenitálních chlamydiových infekcí. Najdeme zde základní informace týkající se taxonomie, morfologie a rozmnožování chlamydií. Podrobněji se věnuje klinickým projevům a pozdním následkům těchto infekcí i recentním doporučením týkajícím se jejich diagnostiky a léčby.

Our article brings a comprehensive view at specific issues concerning urogenital chlamydial infections. We can find here basic information touching taxonomy, morphology and reproduction of chlamydias. It describes in detail their clinical manifestations and late consequences as well as recent recommendations regarding their diagnostics and treatment.

• Keywords
• pohlavně přenosné infekce, pozdní následky, screening,
• MeSH
• Anti-Bacterial Agents therapeutic use   MeSH
• Chlamydia trachomatis isolation & purification   pathogenicity   MeSH
• Chlamydia Infections MeSH
• Endometritis microbiology   pathology   MeSH
• Pregnancy Complications, Infectious microbiology   pathology   MeSH
• Disease Attributes MeSH
• Humans MeSH
• Molecular Biology methods   MeSH
• Uterine Cervical Neoplasms microbiology   pathology   MeSH
• Urethral Diseases microbiology   pathology   MeSH
• Mass Screening methods   utilization   MeSH
• Polymerase Chain Reaction methods   utilization   MeSH
• Prostatitis microbiology   pathology   MeSH
• Serologic Tests utilization   MeSH
• Sexually Transmitted Diseases, Bacterial diagnosis   drug therapy   microbiology   MeSH
• Urogenital System microbiology   pathology   MeSH
• Uterine Cervicitis microbiology   pathology   MeSH
• Check Tag
• Humans MeSH

• MeSH
• Chronic Disease MeSH
• Drug Therapy methods   MeSH
• Humans MeSH
• Male Urogenital Diseases MeSH
• Pelvic Pain diagnosis   classification   therapy   MeSH
• Prostatitis diagnosis   pathology   therapy   MeSH
• Surveys and Questionnaires MeSH
• Terminology as Topic MeSH
• Female Urogenital Diseases and Pregnancy Complications diagnosis   pathology   therapy   MeSH
• Check Tag
• Humans MeSH

• MeSH
• Antirheumatic Agents therapeutic use   MeSH
• Adult MeSH
• Drug Therapy methods   MeSH
• Quality of Life MeSH
• Humans MeSH
• Signs and Symptoms pathology   therapy   MeSH
• Prostatitis diagnosis   pathology   therapy   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Male MeSH

• MeSH
• Anti-Bacterial Agents administration & dosage   MeSH
• Anti-Inflammatory Agents, Non-Steroidal administration & dosage   MeSH
• Chemical Actions and Uses MeSH
• Chronic Disease drug therapy   MeSH
• Growth Inhibitors MeSH
• Humans MeSH
• Prostatitis etiology   drug therapy   pathology   MeSH
• Growth Substances MeSH
• Check Tag
• Humans MeSH
• Male MeSH

• MeSH
• Anti-Bacterial Agents therapeutic use   MeSH
• Diagnostic Techniques, Urological methods   MeSH
• Drug Therapy methods   MeSH
• Urinary Tract Infections diagnosis   pathology   therapy   MeSH
• Lactams MeSH
• Polymerase Chain Reaction methods   MeSH
• Prostatitis pathology   therapy   MeSH
• Tetracyclines therapeutic use   MeSH

• MeSH
• Anti-Bacterial Agents therapeutic use   MeSH
• Bacterial Infections pathology   MeSH
• Quinolones therapeutic use   MeSH
• Drug Therapy methods   MeSH
• Classification MeSH
• Prostatitis classification   pathology   therapy   MeSH