Community-acquired methicillin-resistant Staphylococcus aureus prostatic abscess.
We present a 43-year-old man with a history of intravenous drug abuse who presented to the emergency department with a 5-week history of lower urinary tract symptoms. On digital rectal examination, a firm prostate with exquisite tenderness was noted. Computed tomography scan of the pelvis with contrast demonstrated a 4.4 by 2.7-cm prostatic abscess in the right lobe. Suppurative fluid was expressed from the right prostatic lobe during transurethral resection of the prostate. Cultures of blood and suppurative prostatic fluid grew methicillin-resistant Staphylococcus aureus.
Baker
Scott D
SD
George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Horger
David C
DC
Keane
Thomas E
TE
D000038:Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D000328:Adult; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology; D002939:Ciprofloxacin / Q000494:pharmacology / Q000627:therapeutic use; D003131:Combined Modality Therapy; D017714:Community-Acquired Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D004198:Disease Susceptibility; D004318:Doxycycline / Q000494:pharmacology / Q000627:therapeutic use; D024901:Drug Resistance, Multiple, Bacterial; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D009254:Nafcillin / Q000627:therapeutic use*; D009920:Orchitis / Q000150:complications; D011472:Prostatitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012008:Recurrence; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000302:isolation & purification; D015819:Substance Abuse, Intravenous / Q000150:complications; D013492:Suppuration; D020728:Transurethral Resection of Prostate; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use*; D014640:Vancomycin / Q000627:therapeutic use*
D009254:Nafcillin; D002939:Ciprofloxacin; D014640:Vancomycin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D004318:Doxycycline