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Article Number - B5A135746907


Vol.5(4), pp. 12-14 , August 2014
DOI: 10.5897/MCS2013.0091
ISSN: 2141-6532



Case Report

Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier



Howard MacLennan, D. O.
  • Howard MacLennan, D. O.
  • Department of Family Medicine, Womack Army Medical Center, Fort Bragg, North Carolina, United States
  • Google Scholar
Cristóbal S. Berry-Cabán
  • Cristóbal S. Berry-Cabán
  • Department of Clinical Investigation, Womack Army Medical Center, Fort Bragg, North Carolina, United States.
  • Google Scholar
Elizabeth Goorley, D. O.
  • Elizabeth Goorley, D. O.
  • Department of Family Medicine, Womack Army Medical Center, Fort Bragg, North Carolina, United States
  • Google Scholar
Benjamin Ingram
  • Benjamin Ingram
  • Department of Family Medicine, Womack Army Medical Center, Fort Bragg, North Carolina, United States
  • Google Scholar







 Received: 18 September 2013  Accepted: 24 June 2014  Published: 01 August 2014

Copyright © 2014 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Prostatic abscess caused by methicillin resistant Staphylococcus aureus (MRSA) is rare with few previously reported cases. This appears to be the first identifiable report of a healthy, immunocompetent individual developing a community acquired prostatic abscess. A 35 year old male soldier presented to the emergency room complaining of chills, malaise, pelvic pain, tenesmus, dysuria and bloody urine. On admission, he was found to have a high grade fever, abdominal pain, and leukocytosis. He was started on vancomycin. Computed tomography (CT) scan of the abdomen and pelvis revealed fluid-filled sacs inside his prostate, consistent with abscesses. Subsequently, a transurethral prostatic resection was performed with an incision and drainage revealing a MRSA prostatic abscess. Repeat CT of the abdomen/pelvis after six weeks of treatment showed a decrease in the size and number of prostatic abscesses. MRSA prostatic abscesses have been documented in the medical literature primarily of immunocompromised individuals with diabetes mellitus, human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS), or preceded by MRSA pneumonia, and not of healthy people. The treatment strategy of a prostatic MRSA abscess is similar to that of skin MRSA abscess with incision and drainage of the abscess and three to six weeks of antibiotics, depending on patient tolerance.

 

Key words: Community, acquired, methicillin resistant Staphylococcus aureus, prostatic abscess. 

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APA MacLennan, H. D. O., Berry-Cabán, C. S., Goorley, E. D. O. & Ingram, B (2014). Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier. Medical Case Studies, 5(4), 12-14.
Chicago Howard MacLennan, D. O., Crist&obal S. Berry-Cab&an, Elizabeth Goorley, D. O. and Benjamin Ingram. "Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier." Medical Case Studies 5, no. 4 (2014): 12-14.
MLA Howard MacLennan, et al. "Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier." Medical Case Studies 5.4 (2014): 12-14.
   
DOI 10.5897/MCS2013.0091
URL http://academicjournals.org/journal/MCS/article-abstract/B5A135746907

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