1887

Abstract

Introduction:

Prostate abscess (PA) is an uncommonly encountered clinical entity. The most commonly associated organisms have been , and recently . has rarely been associated with PA.

Case presentation:

A 72-year-old developed confusion and hypotension during his hospital stay 2 weeks after an orthotropic heart transplant. was identified in his blood and urine. The patient had an ultrasound of the kidneys, which showed bilateral renal cysts, and a transrectal ultrasound, which showed 3 cm fluid in the peripheral zone of the prostate, suggestive of an abscess. The patient was treated with antibiotics for 2 months with resolution of the abscess.

Conclusion:

The patient was successfully treated with antibiotics without surgical drainage. Clinicians should suspect PA in patients with persistent bacteraemia.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.000035
2015-06-01
2019-11-20
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/2/3/jmmcr000035.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.000035&mimeType=html&fmt=ahah

References

  1. Bae G. B. , Kim S. W. , Shin B. C. , Oh J. T. , Do B. H. , Park J. H. , Lee J. M. , Kim N. S. . 2003; Emphysematous prostatic abscess due to Klebsiella pneumoniae: report of a case and review of the literature. J Korean Med Sci 18: 758– 760 [CrossRef]
    [Google Scholar]
  2. Baker S. D. , Horger D. C. , Keane T. E. . 2004; Community-acquired methicillin-resistant Staphylococcus aureus prostatic abscess. Urology 64: 808– 810 [CrossRef]
    [Google Scholar]
  3. Barozzi L. , Pavlica P. , Menchi I. , De Matteis M. , Canepari M. . 1998; Prostatic abscess: diagnosis and treatment. Am J Roentgenol 170: 753– 757 [CrossRef]
    [Google Scholar]
  4. Bastide C. , Carcenac A. , Arroua F. , Rossi D. . 2005; Prostatic abscess due to Candida tropicalis . Prostate Cancer Prostatic Di. 8: 296– 297 [CrossRef]
    [Google Scholar]
  5. Becker L. E. , Harrin W. R. . 1964; Prostatic abscess: a diagnostic and therapeutic approach. J Urol 91: 582– 585
    [Google Scholar]
  6. Collado A. , Palou J. , García-Penit J. , Salvador J. , de la Torre P. , Vicente J. . 1999; Ultrasound-guided needle aspiration in prostatic abscess. Urology 53: 548– 552 [CrossRef]
    [Google Scholar]
  7. Dalton D. L. . 1989; Elevated serum prostate-specific antigen due to acute bacterial prostatitis. Urology 33: 465 [CrossRef]
    [Google Scholar]
  8. Göğüş C. , Ozden E. , Karaboğa R. , Yağci C. . 2004; The value of transrectal ultrasound guided needle aspiration in treatment of prostatic abscess. Eur J Radiol 52: 94– 98 [CrossRef]
    [Google Scholar]
  9. Grandos E. A. , Riley G. , Salvador J. , Vincente J. . 1992; Prostatic abscess: diagnosis and treatment. J Urol 148: 80– 82
    [Google Scholar]
  10. Jang K. , Lee D. H. , Lee S. H. , Chung B. H. . 2012; Treatment of prostatic abscess: case collection and comparison of treatment methods. Korean J Urol 53: 860– 864 [CrossRef]
    [Google Scholar]
  11. Klotz P. G. . 1959; Recent experience with abscess of the prostate. Can J Surg 2: 387– 389
    [Google Scholar]
  12. Krishnamohan P. , Schaninger T. , Baddour L. M. , Al-Hasan M. N. . 2013; Community-acquired methicillin-resistant Staphylococcus aureus prostatic abscesses. Am J Med Sci 346: 341– 344 [CrossRef]
    [Google Scholar]
  13. Lim J. W. , Ko Y. T. , Lee D. H. , Park S. J. , Oh J. H. , Yoon Y. , Chang S. G. . 2000; Treatment of prostatic abscess: value of transrectal ultrasonographically guided needle aspiration. J Ultrasound Med 19: 609– 617
    [Google Scholar]
  14. Liu K. H. , Lee H. C. , Chuang Y. C. , Tu C. A. , Chang K. , Lee N. Y. , Kos W. C. . 2003; Prostatic abscess in southern Taiwan: another invasive infection caused predominantly by Klebsiella pneumoniae . J Microbiol Immunol Infect 36: 31– 36
    [Google Scholar]
  15. Ludwig M. , Schroeder-Printzen I. , Schiefer H. G. , Weidner W. . 1999; Diagnosis and therapeutic management of 18 patients with prostatic abscess. Urology 53: 340– 345 [CrossRef]
    [Google Scholar]
  16. Mariani A. J. , Jacobs L. D. , Clapp P. R. , Hariharan A. , Stams U. K. , Hodges C. V. . 1983; Emphysematous prostatic abscess: diagnosis and treatment. J Urol 129: 385– 386
    [Google Scholar]
  17. Meares E. M. Jr . 1986; Prostatic abscess. J Urol 136: 1281– 1282
    [Google Scholar]
  18. Park S. C. , Lee J. W. , Rim J. S. . 2011 Jul; Prostatic abscess caused by community-acquired methicillin-resistant Staphylococcus aureus . Int J Urol 18: 536– 538 [CrossRef]
    [Google Scholar]
  19. Pier G. B. , Ramphal R. . 2010; Pseudomonas aeruginosa. . In Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases, pp. 2587– 2615. Edited by Mandell G. L. , Bennet J. E. , Dolin R. . , 7th edn.., Philadelphia, PA: Churchill Livingstone Elsevier;
    [Google Scholar]
  20. Pierce J. R. Jr , Saeed Q. , Davis W. R. . 2008; Prostatic abscess due to community- acquired methicillin-resistant Staphylococcus aureus . Am J Med Sci 335: 154– 156 [CrossRef]
    [Google Scholar]
  21. Tai H. C. . 2007; Emphysematous prostatic abscess: a case report and review of literature. J Infect 54: e51– e54 [CrossRef]
    [Google Scholar]
  22. Thornhill B. A. , Morehouse H. T. , Coleman P. , Hoffman-Tretin J. C. . 1987; Prostatic abscess: CT and sonographic findings. Am J Roentgenol 148: 899– 900 [CrossRef]
    [Google Scholar]
  23. Weinberger M. , Cytron S. , Servadio C. , Block C. , Rosenfeld J. B. , Pitlik S. D. . 1988; Prostatic abscess in the antibiotic era. Rev Infect Dis 10: 239– 249 [CrossRef]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.000035
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.000035
Loading

Data & Media loading...

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error