Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11311
Title: Staphylococcus aureus Prostatic abscess: a clinical case report and a review of the literature.
Authors: Carroll, David E
Marr, Ian
Huang, G Khai Lin
Holt, Deborah C
Tong, Steven Y C
Boutlis, Craig S
Affiliation: Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia. dcarroll06@qub.ac.uk.. Daisy Hill Hospital, Southern Health and Social Care Trust, Newry, Northern Ireland, United Kingdom. dcarroll06@qub.ac.uk.. The Queen's University of Belfast, Belfast, Northern Ireland, United Kingdom. dcarroll06@qub.ac.uk..
Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia.. Territory Pathology, Northern Territory Department of Health, Royal Darwin Hospital, Darwin, Northern Territory, Australia..
Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia..
Menzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, Australia..
Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia.. Menzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, Australia.. Victorian Infectious Disease Service, The Royal Melbourne Hospital, Victoria, Australia.. Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Victoria, Australia..
Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia.. Territory Pathology, Northern Territory Department of Health, Royal Darwin Hospital, Darwin, Northern Territory, Australia..
Issue Date: 2017
Citation: BMC infectious diseases 2017; 17(1): 509
Abstract: Prostatic abscess is a rare complication of acute bacterial prostatitis and is most commonly caused by Enterobacteriaceae. We report on a case of prostatic abscess caused by Staphylococcus aureus and conduct a review of the literature. We present a case of S. aureus prostatic abscess that was successfully treated with a combination of antibiotic and surgical therapy. The isolate was non–multidrug-resistant, methicillin-resistant Staphylococcus aureus and was genotyped as clonal complex 5, an emerging regional clone that is trimethoprim resistant and Panton-Valentine leukocidin positive. This current case report is the first to describe the use of clindamycin step-down therapy. A literature review identified a further 39 cases of S. aureus prostatic abscesses, of which 26 were methicillin resistant. S. aureus is an uncommon cause of prostatic abscess. Optimal management includes both antibiotic therapy and surgical drainage. Our use of clindamycin as step-down therapy was guided by its excellent prostatic penetration.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11311
DOI: 10.1186/s12879-017-2605-4
Type: Case Reports
Journal Article
Review
Subjects: MRSA
MSSA
PVL
Prostatic abscess
Prostatic abscesses
ST5-MRSA
Staphylococcus aureus
nmMRSA
Abscess
Anti-Bacterial Agents
Bacterial Toxins
Clindamycin
DNA, Bacterial
Humans
Male
Methicillin-Resistant Staphylococcus aureus
Prostatic Diseases
Staphylococcal Infections
Staphylococcus aureus
Tomography, X-Ray Computed
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