title: Prostatic abscess of Klebsiella pneumonia complicating septic pulmonary emboli and meningitis: A case report and brief review.
abstract: Prostatic abscess is a rare entity with an incidence of 0.5%-2.5% in all prostate diseases and usually occurs in the 5th and 6th decades of life with immunocompromised status. Prostatic abscess might be a process of evolution from acute prostatitis. Klebsiella pneumoniae is the leading microorganism in the diabetic patients of prostatic abscess in Taiwan. A 60-year-old diabetic man, with a one-week history of acute bacterial prostatitis was reported in this study, presenting to the emergency department with sudden altered mental status. The abdominal computed tomographic scan demonstrated lobulated prostatic abscess and multiple septic pulmonary emboli with lung abscesses. Analysis of cerebrospinal fluid showed white blood cells of 10771 counts/mm3with segmented neutrophils of 99%. Cultures of blood, cerebrospinal fluid and sputum yielded Klebsiella pneumoniae. We concluded that computed tomographic scan can make a definite diagnosis of prostatic abscess associated with complications and management with empiric antibiotics and adequate drainage is suggested.
authors.affiliation: Department of Emergency Medicine, Chung Shan Medical University Hospital, Taiwan; School of Medicine, Chung Shan Medical University, Taiwan.
authors.forename: Jai-Wen
authors.initials: JW
authors.lastname: Liu
authors.affiliation: School of Medicine, Chung Shan Medical University, Taiwan; Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan; Department of Nursing, College of Health, National Taichung University of Science and Technology, Taiwan; Department of Nursing, College of Nursing, Central Taiwan University of Science and Technology, Taiwan; Department of Public Health, College of Public Health, China Medical University, Taiwan.
authors.forename: Tzu-Chieh
authors.initials: TC
authors.lastname: Lin
authors.affiliation: School of Medicine, Chung Shan Medical University, Taiwan; Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan; Department of Nursing, College of Health, National Taichung University of Science and Technology, Taiwan; Department of Nursing, College of Nursing, Central Taiwan University of Science and Technology, Taiwan.
authors.forename: Yao-Tien
authors.initials: YT
authors.lastname: Chang
authors.affiliation: Division of Infectious Disease, Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan.
authors.forename: Che-An
authors.initials: CA
authors.lastname: Tsai
authors.affiliation: School of Medicine, Chung Shan Medical University, Taiwan; Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan; Department of Nursing, College of Health, National Taichung University of Science and Technology, Taiwan; Department of Nursing, College of Nursing, Central Taiwan University of Science and Technology, Taiwan; Institute of Medicine, Chung Shan Medical University, Taiwan. Electronic address: song9168@pie.com.tw.
authors.forename: Sung-Yuan
authors.initials: SY
authors.lastname: Hu
keywords: Klebsiella pneumoniae; Lung abscess; Meningitis; Prostatic abscess; Septic emboli