HOMOEOPATHY A RESONABLE ALTERNATIVE FOR TREATMENT OF -

Transcription

HOMOEOPATHY A RESONABLE ALTERNATIVE FOR TREATMENT OF -
JOURNAL OF RECENT ADVANCES IN APPLIED SCIENCES (JRAAS) 25:25-27, 2010
ISSN 0970 1990, ST CODE 08 , www.jraas.org. E MAIL: mhcdr@rediff.com
HOMOEOPATHY A RESONABLE ALTERNATIVE FOR TREATMENT OF
FUNGAL PROSTATITIS - A CASE REPORT
SURESH CHANDRA SRIVASTAVA * AND A.K.SRIVASTAVA
MATA HOMEO CLINIC, DIAGNOSTICS AND RESEARCH CENTRE FOR HUMAN MYCOSES & ALLERGY
250, KESHAV NAGAR, SITAPUR ROAD, LUCKNOW-226020, UP INDIA , E-mail: mhcdr@rediff.com
*EX-SENIOR SCIENTIST, INDUSTRIAL TOXICOLOGY RESEARCH INSTITUTE POST BOX 80.M G MARG,
LUCKNOW, INDIA E-mail: scs_itrc@rediffmail.com
ABSTRACT
Present paper reports a case of fungal prostatitis which has perfectly been cured with homoeopathic drugs. Diagnosis
is based on fungal culture of prostate fluid before and after treatment. Present case added to literature, suggesting
that clinicians need to consider fungal infections in patients who fail standard therapy for prostatitis, either as a primary
causative organism or as secondary agents induced by broad-spectrum antibiotic use. Homeopathic drugs are
potentially alternative to treat fungal prostatitis.
CASE
A 63 years old Indian male was suffering from
fever ranging from 99.00F to 99.20F for the last
seven years. Later he developed urine problems
such as pain while urinating, increase frequency,
urgency, difficulty in starting urination and
incomplete emptying of the bladder, occasional
itching sensation at the tip of the penis. Tongue
slightly white coated, bitter taste, weakness
etc.were other complaints.
Ultrasonography (Fig-1a and b)
of whole
abdomen showed on July 11,2004
mild
hepatomegaly -fatty changes, with homogeneous
echo texture of parenchyma and enlarged prostate
size 47x44x30 mm, and weight was 34 grams i.e.
prostate enlargement Grade II. Residual urine
volume was 20ml in urinary bladder. Prostate
Specific Antigen (PSA) was normal. Pathological
repeated reports revealed the presence of E.coli
Cyst, Pus cells-1-2/phf in stool. Hemoglobin was
12.0 gram%, total leukocyte count-12,760/cmm,
differential Leukocyte count, neutrophils 81%,
lymphocytes 19%. Erythrocytes sedimentation rate
(ESR by wintrobes method) was 46mm for 1hr,
ESR corrected 34 mm. Packed cell volume
36ml%, Widal test was found Negative for
Typhoid. In urine, albumin was 50mg% & pus cells
22-23/phf; reported. Urine culture showed the
growth of Escherichia coli (>105 bacteria/ml of
0
urine) 24 hours after aerobic incubation at 37 C,
sensitivity pattern showed Gentamycin ++++,
Tobramycin+++, ciprofloxacin+++,Cefatoxine+++,
etc. However, he was kept for complete course of
Gentamycin 80mg intramuscular injection twice
daily for 7 days. During Gentamycin treatment, he
felt better in urination Urine examination revealed
25 | JRAAS 25: 25-26, 2010
that albumin was found in traces and uric acid
crystals (+) and E.coli count was normal (<100/ml
cfu/ml). After withdrawal of Gentamycin treatment,
the patient regains all the symptoms which he
reported earlier.
Further it was suspected BPH with prostatitis of
fungal origin since antibacterial not responded.
Thus fresh Prostate fluid obtained from drainage
was examined for fungal presence by culturing
directly on Sabouraud Dextrose Agar with
antibacterial antibiotics at 370c1. It was highly
imperative to know that there was significant
growth (>106 CFU/ml) and culture identified was
Candida albicans and confirmed by sprout
mycelium test. History of patient again reviewed
and found patient was used to unprotected sex
even with the opposite partner having Candida
vaginitis.
To avoid surgery the patient was treated with
2,3,4,5
homoeopathic medicines
such as Sabal
serulatta Q , Cantharis 30, Sarsaparilla 30, Apis
mel 30, Petroleum 30 and Natrum phos 12x twice
daily as and when required depending upon the
clinical symptoms of the patient with fortnight
review. His body temperature came down to
normal after 40 days treatment. The medicines
remain continued till 5th March 2005. On March
4th 2005 Ultrasonography of whole abdomen
widespread use of other broad-spectrum no
residue seen in urinary bladder, the prostate
measuring 45x33x26x mm and weight was 21
grams. Prostate fluid and urine was negative for
Candida growth.
Fig-1a
Fig-1c
BEFORE TREATMENT
AFTER TREATMENT
DISCUSSION
Fungal urinary tract infections associated with
either indwelling catheters or immune-suppression
are increasingly identified in an era of broadspectrum antibiotics; however, prostate infections
due to fungal organisms are still relatively
uncommon, and Candida prostatitis is rarer still,8
with only scattered reports in the literature, most of
which report prostatic abscesses due to this
organism.9-11.but in present case no any
abscesses is noted.
Using antibiotic prophylaxis, now the standard of
care, infectious complications from ultrasoundguided transrectal prostate biopsies are infrequent
but well documented.12-13 Present case adds to
26 | JRAAS 25: 25-26, 2010
Fig-1b
Fig-1d
literature, suggesting that clinicians need to
consider fungal infections in patients who fail
standard therapy for prostatitis.. Widespread use
of other broad-spectrum antimicrobials, fungal
infections in general have become more
14-15
prevalent.
CONCLUSION
All the prevailing subjective symptoms such as
fever, urine problems were vanished in total with
treatment of homeopathic medicines in general 2,3,4
and antifungal in specific5. There are very few
reports BPH with prostatitis of fungal origin and the
etiological agent reported was to belongs yeast
category identified as Candida albicans. and
homoeopathy is highly economical and nontoxic
alternative treatment to BHP with fungal prostatitis.
Further researches toward prostatitis of fungal
origin are open to scientists. It is also concluded
that BPH with fungal prostatitis can be treated
.
without surgical interve-ntion using homeopathic
medicines.
REFERENCES
1. Srivastava A.K., Singh K.P., Ray P.K.:
Protein A induced protection against
experimental Candidiasis in mice,
Mycopathologia ,1997-138, 21-38.
2. William Boericke Pocket Manual of
Homoeopathic Materia Medical Ed:In
India Published by Roy Publishing
House, Calcutta 1927-pp01-1042
3. Farrington EA: clinical Materia Medica
Revised by Farrington Harvey 1908
Philadelphia. In India published by Jain
Publishers, New Delhi, India 1975. pp09824
4. The twelve schussler Tissue Remedies,
published
by
Homoeopathic
Poor
Dispensary,
kinada, Mangalore,
India, 1949. pp-vii to 249
5. Gupta G., Srivastava A.K. et al:
Cutaneous
candidiasis
therapeutic
potential of homoeopathic drugs.:Asian
Homoeopathic Journal 7(2) 1997:8-32.
6. Srivastava A.K and Arvind singh, 2006
Homoeopatsic Microdoses do work –
experimental researches, Proceeding of
3rd
Homoeopatric semeinar –26th
November 2006 HAMAI unit Badaun (U
P) India pp 36-37
27 | JRAAS 25: 25-26, 2010
7. Griffiths k.1996 molecular control of
prostate growth, Isis medical media:23-55
8. Golz R, Mendling W. Candidosis of the
prostate: a rare form of endomycosis.
Mycoses. 1991;34(9-10):381-384.
9. Elert A, von Knoblock R, Nusser R, et al.
Isolated candidal prostatitis. J Urol.
2000;163(1):244.
10. Collado A, Ponce de Leon J, Salinas D,
et al. Prostatic abscess due to Candida
with no systemic manifestations. Urol Int.
2001;67(2):186-188.
11. Indudhara R, Singh SK, Vaidyanathan S,
et al. Isolated invasive candidal
prostatitis. Urol Int. 1992;48(3):362-364.
12. Sieber PR, Rommel FM, Agusta VE, et
al. Antibiotic prophylaxis in ultrasound
guided transrectal prostate biopsy. J Urol.
1997;157(6):2199-2200.
13. Otrock ZK, Oghlakian GO, Salamoun
MM, et al. Incidence of urinary tract
infection following transrectal ultrasound
guided prostate biopsy at a tertiary-care
medical center in Lebanon. Infect Control
Hosp Epidemiol. 2004;25(10):873-877.
14. Clark TA, Hajjeh RA. Recent trends in the
epidemiology of invasive mycoses. Curr
Opin Infect Dis. 2002;15:569-574