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- Title
Staphylococcus aureus Prostatic abscess: a clinical case report and a review of the literature.
- Authors
Carroll, David E.; Marr, Ian; Khai Lin Huang, G.; Holt, Deborah C.; Tong, Steven Y. C.; Boutlis, Craig S.; Huang, G Khai Lin
- Abstract
<bold>Background: </bold>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.<bold>Case Presentative: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
PROSTATITIS; ENTEROBACTERIACEAE; METHICILLIN-resistant staphylococcus aureus; TRIMETHOPRIM; CLINDAMYCIN; PROSTATE disease diagnosis; DNA metabolism; ABSCESSES; ANTIBIOTICS; BACTERIAL toxins; COMPUTED tomography; DNA; PROSTATE diseases; STAPHYLOCOCCAL diseases; STAPHYLOCOCCUS aureus; PHARMACODYNAMICS; DIAGNOSIS; THERAPEUTICS
- Publication
BMC Infectious Diseases, 2017, Vol 17, p1
- ISSN
1471-2334
- Publication type
journal article
- DOI
10.1186/s12879-017-2605-4