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Staphylococcus aureus Prostatic Abscess in the Setting of Prolonged S. aureus Bacteremia

Emily M Eichenberger1, Christopher J Shoff1, Robert Rolfe1

  • 1Division of Infectious Disease, Department of Medicine, Duke University Medical Center, Durham, NC, USA.

Case Reports in Infectious Diseases
|June 11, 2020
PubMed

Insights

Staphylococcus aureus prostatic abscess is rare but serious, often occurring with bacteremia. Prompt treatment with antibiotics and surgical drainage is crucial for patient survival.

Area of Science:

  • Urology
  • Infectious Diseases
  • Bacteriology

Background:

  • Prostatic abscess is an uncommon clinical presentation.
  • Staphylococcus aureus is a rare causative pathogen for prostatic abscess.

Observation:

  • Five cases of Staphylococcus aureus prostatic abscess with bacteremia were identified between December 2018 and May 2019.
  • Three cases involved Methicillin-resistant Staphylococcus aureus (MRSA).
  • Four patients required surgical drainage of the abscess.

Findings:

  • All patients received at least six weeks of antibiotic therapy.
  • One patient succumbed to the infection.
  • Staphylococcus aureus prostatic abscess in the context of bacteremia indicates a severe infection.

Implications:

  • Early diagnosis and aggressive management are vital.
  • Treatment necessitates a combination of prolonged antibiotic courses and surgical intervention when indicated.
  • This condition, though infrequent, carries significant morbidity and mortality risk.

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