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Prostatic Abscess by Morganella morganii

Minoru Sakakiyama1, Koji Hayashi2, Miki Tada1

  • 1Department of Internal Medicine, Fukui General Hospital, Fukui, JPN.

Cureus
|July 21, 2025
PubMed

Insights

A rare prostatic abscess (PA) caused by Morganella morganii was successfully treated in an immunocompetent patient. Early diagnosis and targeted antibiotic therapy are crucial for managing this uncommon infection.

Area of Science:

  • Urology
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Prostatic abscess (PA) is an uncommon condition that can present with nonspecific symptoms.
  • Postoperative or nosocomial infections, particularly in patients with urinary catheters, warrant consideration of atypical pathogens.

Observation:

  • A 71-year-old immunocompetent male developed fever, elevated inflammatory markers, and pyuria on postoperative day 6 after lumbar surgery with perioperative catheterization.
  • Blood and urine cultures identified Morganella morganii as the causative agent.
  • Contrast-enhanced computed tomography confirmed a prostatic abscess.

Findings:

  • The patient was treated with levofloxacin, leading to symptom resolution by postoperative day 11.
  • Successful management of a prostatic abscess caused by Morganella morganii in an immunocompetent patient.
  • Morganella morganii, an atypical pathogen, was identified as the causative agent of prostatic abscess.

Implications:

  • This case underscores the importance of clinical suspicion and comprehensive diagnostics for prostatic abscesses presenting with diverse symptoms.
  • It highlights the need to consider unusual bacteria like Morganella morganii in postoperative or catheter-associated urinary tract infections.
  • Further research into the pathogenesis and optimal treatment strategies for prostatic abscesses caused by rare organisms is warranted.
Keywords:
abscessmorganella morganiipostoperationprostate glandprostatic abscessurinary catheter

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