What condition makes prostatic massage contraindicated during a rectal examination?

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Prostatic massage is contraindicated during a rectal examination in the case of acute bacterial prostatitis because the condition involves inflammation and infection of the prostate gland. Acute bacterial prostatitis can lead to a swollen and tender prostate, and performing a massage could cause further irritation, exacerbate pain, and potentially spread the infection. This condition is characterized by sudden onset of fever, chills, and severe pelvic pain, which would make any invasive examination like prostatic massage inadvisable. Additionally, acute bacterial prostatitis necessitates immediate antibiotic treatment and careful monitoring, prioritizing the management of infection over any diagnostic maneuver like prostatic massage.

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