Staphylococcus aureus Prostatic abscess A clinical case report and a review of the literature

David E. Carroll*, Ian Marr, G. Khai Lin Huang, Deborah C. Holt, Steven Y.C. Tong, Craig S. Boutlis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)
354 Downloads (Pure)



Prostatic abscess is a rare complication of acute bacterial prostatitis and is most commonly caused by Enterobacteriaceae. We report on a case of prostatic abscess caused by Staphylococcus aureus and conduct a review of the literature. 

Case presentation

We present a case of S. aureus prostatic abscess that was successfully treated with a combination of antibiotic and surgical therapy. The isolate was non-multidrug-resistant, methicillin-resistant Staphylococcus aureus and was genotyped as clonal complex 5, an emerging regional clone that is trimethoprim resistant and Panton-Valentine leukocidin positive. This current case report is the first to describe the use of clindamycin step-down therapy. A literature review identified a further 39 cases of S. aureus prostatic abscesses, of which 26 were methicillin resistant.


Saureus is an uncommon cause of prostatic abscess. Optimal management includes both antibiotic therapy and surgical drainage. Our use of clindamycin as step-down therapy was guided by its excellent prostatic penetration.

Original languageEnglish
Article number509
JournalBMC Infectious Diseases
Issue number1
Publication statusPublished - 21 Jul 2017
Externally publishedYes


  • MRSA
  • MSSA
  • NmMRSA
  • Prostatic abscess
  • Prostatic abscesses
  • PVL
  • ST5-MRSA
  • Staphylococcus aureus

ASJC Scopus subject areas

  • Infectious Diseases

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