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https://repository.monashhealth.org/monashhealthjspui/handle/1/38545| Title: | Staphylococcus aureus Prostatic abscess: A clinical case report and a review of the literature. | Authors: | Carroll D.E.;Huang G.K.L.;Holt D.C.;Tong S.Y.C.;Marr I.;Boutlis C.S. | Institution: | (Carroll, Marr, Huang, Tong, Boutlis) Royal Darwin Hospital, Department of Infectious Diseases, Darwin, NT, Australia (Marr, Boutlis) Northern Territory Department of Health, Royal Darwin Hospital, Territory Pathology, Darwin, NT, Australia (Holt, Tong) Charles Darwin University, Menzies School of Health Research, Casuarina, NT, Australia (Carroll) Southern Health and Social Care Trust, Daisy Hill Hospital, Newry, Northern Ireland, United Kingdom (Carroll) The Queen's University of Belfast, Belfast, Northern Ireland, United Kingdom (Tong) The Royal Melbourne Hospital, Victorian Infectious Disease Service, VIC, Australia (Tong) The University of Melbourne, Peter Doherty Institute for Infection and Immunity, VIC, Australia | Issue Date: | 28-Jul-2017 | Copyright year: | 2017 | Publisher: | BioMed Central Ltd. (E-mail: info@biomedcentral.com) | Place of publication: | United Kingdom | Publication information: | BMC Infectious Diseases. 17 (1) (no pagination), 2017. Article Number: 509. Date of Publication: 21 Jul 2017. | Journal: | BMC Infectious Diseases | Abstract: | Background: 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. Case presentation: 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. Conclusion(s):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.Copyright © 2017 The Author(s). | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1186/s12879-017-2605-4 | Link to associated publication: | Click here for full text options | PubMed URL: | 28732492 [http://www.ncbi.nlm.nih.gov/pubmed/?term=28732492] | ISSN: | 1471-2334 (electronic) | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/38545 | Type: | Article | Subjects: | digital rectal examination epsilometer test fever foot ulcer hepatitis C human Indigenous Australian indwelling urinary catheter laboratory test male methicillin resistant Staphylococcus aureus middle aged non insulin dependent diabetes mellitus pain perineal pain prostate biopsy *prostate disease/di [Diagnosis] *prostate disease/dt [Drug Therapy] *prostate disease/su [Surgery] prostate disease/dt [Drug Therapy] prostatic abscess/dt [Drug Therapy] prostatitis Sarcoptes scabies/di [Diagnosis] serology skin infection soft tissue infection *Staphylococcus aureus surgical drainage transrectal ultrasonography transthoracic echocardiography ultrasound urinary tract disease urine culture urine retention C reactive protein/ec [Endogenous Compound] ceftriaxone/dt [Drug Therapy] ciprofloxacin/dt [Drug Therapy] clindamycin/cb [Drug Combination] clindamycin/dt [Drug Therapy] clindamycin/po [Oral Drug Administration] cotrimoxazole/dt [Drug Therapy] daptomycin/dt [Drug Therapy] kava linezolid/dt [Drug Therapy] piperacillin plus tazobactam/dt [Drug Therapy] rifampicin/dt [Drug Therapy] trimethoprim/dt [Drug Therapy] vancomycin/cb [Drug Combination] vancomycin/dt [Drug Therapy] vancomycin/iv [Intravenous Drug Administration] *prostatic abscess/di [Diagnosis] *prostatic abscess/dt [Drug Therapy] *prostatic abscess/su [Surgery] Sarcoptes scabei suprapubic pain immunosuppressive treatment abdominal pain *abscess/di [Diagnosis] *abscess/dt [Drug Therapy] *abscess/su [Surgery] abscess/dt [Drug Therapy] adult antibiotic resistance antibiotic sensitivity antibiotic therapy article Australia bacteremia blood culture case report catheterization chronic hepatitis B computer assisted tomography diabetes mellitus chronic hepatitis B computer assisted tomography diabetes mellitus digital rectal examination epsilometer test fever foot ulcer hepatitis C human immunosuppressive treatment Indigenous Australian indwelling urinary catheter laboratory test male methicillin resistant Staphylococcus aureus middle aged non insulin dependent diabetes mellitus pain perineal pain prostate biopsy *prostate disease / *diagnosis / *drug therapy / *surgery prostate disease / drug therapy prostatic abscess / drug therapy prostatitis Sarcoptes scabies / diagnosis serology skin infection soft tissue infection *Staphylococcus aureus surgical drainage transrectal ultrasonography transthoracic echocardiography ultrasound urinary tract disease urine culture urine retention adult antibiotic resistance *abscess / *diagnosis / *drug therapy / *surgery abdominal pain abscess / drug therapy antibiotic sensitivity antibiotic therapy Article Australia bacteremia blood culture case report catheterization |
Type of Clinical Study or Trial: | Case series or case report |
| Appears in Collections: | Articles |
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