A case of melioidosis presenting with prostatic abscess in Hong Kong

Melioidosis is endemic in Southeast Asia but reports of prostatic involvement are rare. We describe a patient with Pseudomonas pseudomallei septicemia and a prostatic abscess who presented with signs and symptoms of a urinary tract infection. The organism was cultured from the blood, urine and prostatic pus, and was treated successfully with co-trimoxazole and surgical drainage. Genitourinary infection with Pseudomonas pseudomallei should be considered in patients from endemic areas, and bacteriological investigation is essential for the diagnosis and management.