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

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

doi:10.1186/s12879-017-2605-4

BMC Infectious Diseases

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

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]

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ISSN: 1471-2334

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