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An Unusual Cause of Prostatic Abscess: A Case Report and Review of Literature

Sukhal, Shashvat MD*; Zamora, Jose Gonzales MD; Herrera, Patricia MD

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e31828f4b8c
Review Articles
Abstract

Abstract: Prostatic abscess is an uncommon infection that occurs in patients with preexisting medical conditions, diabetes mellitus, instrumentation of the lower urinary tract, indwelling urethral catheters, and bladder outlet obstruction. In the antibiotic era, the most common etiologic agents are Escherichia coli and other gram-negative organisms native to the urinary tract. We report a rare case of prostatic abscess caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). We also review cases of prostatic abscesses thought to be due to CA-MRSA in English-language literature, with regard to risk factors, clinical presentation, diagnosis, and management. Our case adds to a growing body of cases reported with prostatic abscesses caused by CA-MRSA, and questions whether surgical intervention is as necessary as it is thought to be.

Author Information

From the *Department of Internal Medicine, John H Stroger Hospital of Cook County, Chicago, IL; †Department of Infectious Disease, Rush University Medical Center, Chicago, IL and ‡Department of Infectious Disease, John H Stroger Hospital of Cook County, Chicago, IL.

Correspondence to: Shashvat Sukhal, MD, Department of Medicine, 1900 W Polk St, Chicago, IL 60612. E-mail: ssukhal@cookcountyhhs.org.

The authors have no funding or conflicts of interest to disclose.

© 2013 by Lippincott Williams & Wilkins.