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)

Abstract

Background

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.

 Conclusions:

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
Volume17
Issue number1
DOIs
Publication statusPublished - 21 Jul 2017
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Infectious Diseases

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