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

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    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: S. aureus 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
    Pages (from-to)1-7
    Number of pages7
    JournalBMC Infectious Diseases
    Volume17
    Issue number1
    DOIs
    Publication statusPublished - 21 Jul 2017

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    Carroll, D. E., Marr, I., Huang, G. K. L., Holt, D. C., Tong, S. Y. C., & Boutlis, C. S. (2017). Staphylococcus aureus Prostatic abscess: A clinical case report and a review of the literature. BMC Infectious Diseases, 17(1), 1-7. [509]. https://doi.org/10.1186/s12879-017-2605-4