Case Report

Community-Acquired Methicillin-Resistant Staphylococcus aureus Prostatic Abscess Presenting as Acute Urinary Retention: A Case Report and Review of the Literature

Table 1

Summarizing the cases of CA-MRSA prostatic abscess reported.

Author
year
AgeClinical findingsComorbiditesDrainage methodMicrobiologyOutcomeImagingCountry of origin

Baker et al. 2004 [8]43Hesitancy, low stream, dysuria, afebrile, and leukocytosisIVD abuser, hep CTURP
3 weeks of IV
vancomycin followed by 2 weeks of TMX
CA-MRSA in prostatic fluidSurvived Right lobe  cmUSA

Pierce et al. 2008 [12]64Dysuria, tender prostate, fever, and leukocytosisNewly diagnosed diabetesPercutaneous drainage
Vancomycin IV for 4 weeks
CA-MRSA in blood, urine, and prostatic fluidSurvived Prostatic abscess  cmUSA

Gautam et al. 2008 [10]51Fever, dysuria, and suprapubic painNewly diagnosed AIDSTURP
Vancomycin
TMX, ciprofloxacin
CA-MRSA in prostatic fluidExpired Multiple low echogenic areas suggestive of an abscessUSA

Abreu et al. 2011 [7]59Fever, dysuria, frequency, weak urinary stream, leukocytosis, and tender prostateDiabetes Suppurative lesions in both nasal cavities.Percutaneous drainage
Vancomycin IV followed by po TMX
CA-MRSA in blood and prostatic fluidSurvived Hypodense areas bilaterally; both seminal vesicles were distendedUruguay

Park et al. 2011 [11]45Dysuria, perianal discomfort, fever, and leukocytosisDiabetesTURP+
vancomycin for 10 days
CA-MRSA in prostatic fluidSurvived Large abscess, measuring  cm, bilateral, and extended into both seminal vesiclesRepublic of Korea

Flannery and Humphrey 2012 [9]49Difficult urination, micturition, afebrile, and leukocytosisDiabetesTURP+
vancomycin
Doxycycline (1 month)
CA-MRSA in urine and prostatic fluidSurvived Hypodensities consistent with prostate abscessesUSA

This report 201352Acute urinary retention, afebrile, and no leukocytosis DiabetesTURP+
vancomycin 5 days
TMX, rifampin (1 month)
CA-MRSA in urine, blood, and prostatic fluidSurvived Multiple prostate abscesses, the largest measuring  cm, and a thickened urinary bladder wallUSA