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Case Reports in Infectious Diseases
Volume 2013, Article ID 613961, 5 pages
http://dx.doi.org/10.1155/2013/613961
Case Report

Methicillin Resistant Staphylococcus aureus Prostatic Abscess with Bacteremia

1Department of Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, P.O. Box 692, Rochester, NY 14642, USA
2Department of Pulmonary/Critical Care, University of Rochester Medical Center, 601 Elmwood Avenue, P.O. Box 692, Rochester, NY 14642, USA

Received 5 September 2013; Accepted 26 November 2013

Academic Editors: J.-F. Faucher, M. Ghate, and C. G. Meyer

Copyright © 2013 Daniel J. Lachant et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Prostatic abscess is traditionally considered a rare disease that is caused by Gram-negative bacteria. Methicillin resistant Staphylococcus aureus (MRSA) has recently emerged as an important cause of prostatic abscesses. Symptoms are nonspecific and include dysuria, urinary frequency, fever, chills, and perineal and low back pain. Morbidity and mortality increase with delays in identification and proper treatment. We present two cases of community acquired MRSA prostatic abscesses with bacteremia. One of these cases may be the first reported septic shock fatality resulting from a prostatic abscess source in an immunocompetent patient. As the number of community acquired MRSA bacteremia cases increases, this potential site of infection should be recognized.