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Table 1 Summary of the current literature on S. aureus prostatic abscess

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

Ref Age Susceptibility Presentation Risk Factors Bacteremia Drainage Antibiotic Used Outcome
[8] 42 MRSA Dysuria, urinary retention, abdominal pain Urinary retention No Transrectal Levofloxacin, metronidazole, fluconazole Resolution
[14] 31 MRSA Dysuria, abdominal pain Immunosuppression, recent IDC, T2DM, liver transplant Yes No drainage. Vancomycin, ceftriaxone, daptomycin Resolution
[15] 20 MSSA + PVL Dysuria None Yes Transrectal Ceftriaxone, amikacin, ciprofloxacin, rifampicin, ofloxacin, fosfomycin Resolution
[16] 56 MRSA Dysuria, polyuria, difficulty urinating Diabetes mellitus No Radiology guided then TURP Vancomycin Resolution
[17] 47 MRSA Diffuse myalgias, dry cough, anorexia, dyspnea, fever, and chills Recent penile furuncle, history of hypospadias with urethral stricture No No drainage Vancomycin, piperacillin/tazobactam Death
[17] 31 MRSA Left-sided pleuritic chest pain, fevers, rigors, and fatigue Sickle beta Yes Transrectal and TURP Vancomycin, piperacillin/tazobactam, daptomycin, TMP-SMX Resolution
[18] 52 MRSA Abdominal pain, urinary frequency Diabetes mellitus Yes TURP Vancomycin, TMP-SMX, rifampin Resolution
[19] 47 MRSA Dysuria, pyrexia, urinary frequency, rectal tenesmus, right flank pain None No TURP Vancomycin, piperacillin-tazobactam, linezolid. Resolution
[19] 20 MRSA Pyrexia, lower abdominal pain and perineal discomfort IVDU, hepatitis C No Transurethral Vancomycin, piperacillin-tazobactam, linezolid Resolution
[20] 49 MRSA Dysuria, urinary retention, pyrexia, scrotal pain and oedema, constipation BPH No TURP Vancomycin Resolution
[21] 15 MRSA Left buttock pain, constipation and difficulty ambulating Previous bilateral lower extremity and back abscesses - grew MRSA No TURP Clindamycin, piperacillin-tazobactam, then vancomycin, linezolid Resolution
[22] 49 MRSA Difficulty urinating, low back pain Diabetes mellitus Yes TURP Vancomycin, doxycycline Resolution
[23] 65 MSSA Dysuria, flank pain, and urinary retention, constipation, suprapubic pain Diabetes mellitus Yes Transurethral drainage. Ceftriaxone, ciprofloxacin Resolution
[24] 45 MRSA Dysuria, perineal discomfort, rectal tenesmus and intermittent pyrexia Diabetes mellitus Yes Percutaneous, TURP Vancomycin Resolution
[25] 59 MRSA Dysuria, urinary frequency, pyrexia, rectal and perineal pain Diabetes mellitus, alcoholism Yes Percutaneous Vancomycin, TMP-SMX, ciprofloxacin Resolution
[26] 40 MRSA Fever, urinary hesitancy, intermittent abdominal pain HIV Yes Transperineal Vancomycin, gentamicin Resolution
[27] 50 MSSA Urinary retention Diabetes mellitus, alcoholism No No drainage Ciprofloxacin Resolution
[28] 51 MRSA Dysuria, fever, suprapubic pain HIV, sepsis, adult respiratory distress syndrome, and renal failure Yes Transurethral Vancomycin, ciprofloxacin, TMP-SMX Death
[29] 64 MRSA Dysuria,fatigue, anorexia, and weight loss Diabetes mellitus Yes Percutaneous Vancomycin Resolution
[30] 55 MRSA Urinary hesitancy and rectal pain BPH Yes. No Drainage Vancomycin Resolution
[31] 56 MRSA Difficulty urinating, hematuria, fever, chills and low back pain Diabetes mellitus, BPH, history of self-digital rectal examinations Yes. Percutaneous, TURP Vancomycin, rifampin Resolution
[32] 29 MRSA Persistent pyrexia and superficial skin abscesses on his left calf. Worsening suprapubic and perineal pain Straddle injury to urethra, urethroplasty, hepatitis C No Cope loop catheter placement Vancomycin Resolution
[33] 43 MRSA Dysuria, hesitancy, slow stream, night sweats, flushing, and perineal pain Intravenous drug abuse, hepatitis C Yes TURP Vancomycin, nafcillin, TMP-SMX Resolution
[34] 63 MRSA Urinary retention, pyrexia Recent scrotal drainage, T2DM Yes Percutaneous, TURP Vancomycin Unknown
[35] 59 SA [unknown susceptibility] Difficulty passing urine Recent salivary gland abscess treated with antibiotics No Transperineal, TURP Ciprofloxacin, erythromycin Resolution
[36] 35 SA “clinical acute prostatitis” HIV, bilateral renal abscesses No No drainage “IV antibiotics” Resolution
[37] 42 MSSA Dysuria. urethral discharge, perineal pain No No Transperineal Oxytetracycline Resolution
[38] 43 SA [unknown susceptibility] Dysuria, haematuria, pyrexia, purulent discharge Recent pelvic infection and pelvic surgery No Transurethral Gentamicin, carbenicillin. Resolution after relapse
[9] 54 MSSA Perineal pain Mycosis fungoides No Transperineal, TURP Oxacillin, tobramycin Resolution
[39] 53 MRSA Urinary urgency, fatigue, chills, rigors, and fever Diabetes mellitus, Obesity Yes No drainage Vancomycin, TMP-SMX, rifampin Resolution
[40] 50 MRSA + PVL Abdominal pain, cough, fever, weight loss, malaise Diabetes mellitus Yes CT guided drainage Vancomycin, levofloxacin, daptomycin Resolution
[41] 46 MRSA Acute urinary retention, dysuria, constipation Instrumentation Yes Transurethral IV Antibiotics Resolution
[42] 57 MRSA Dysuria, haematuria, pyrexia Diabetes Mellitus Yes TURP Ceftriaxone, vancomycin Resolution
[43] 67 SA[unknown susceptibility] Acute urinary retention, perineal pain, dysuria, pyrexia Diabetes mellitus Yes No drainage Ciprofloxacin Resolution
[44] 12 SA [unknown susceptibility] Acute urinary retention, pyrexia None - Transurethral “anti-bacterials” Resolution
[45] 69 SA [unknown susceptibility] Pyrexia, lethargy and problems voiding Diabetes mellitus Yes Transurethral Ampicillin, oxacillin Resolution
[46] Newborn MSSA Urinary retention No No No drainage No therapy Resolution
[46] 14 days MSSA Urinary retention, diarrhoea, bladder distension No No Open drainage No therapy Resolution
[46] 3 weeks MSSA Abdominal distension Hirschsprung’s disease Yes Open drainage No therapy Death
This case 52 nmMRSA + PVL Urinary retention Diabetes mellitus, crusted scabies, long term kava use Yes Transrectal Vancomycin, clindamycin Resolution
  1. Legend: BPH [Benign Prostatic Hypertrophy]; CT [Computed Tomography]; HIV [human immunodeficiency virus]; IDC [Indwelling catheter]; IV [Intravenous]; PVL [Panton Valentine leucocidin]; SA [Staphylococcus aureus]; MSSA [Methicillin-sensitive Staphylococcus aureus]; nmMRSA [non–multidrug-resistant, methicillin-resistant Staphylococcus aureus]; MRSA [Methicillin-resistant Staphylococcus aureus]; T2DM [Type 2 Diabetes mellitus]; TMP-SMX [Trimethoprim/sulfamethoxazole]; TURP [transurethral resection of the prostate]