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. 2013 May 12;2013:761793. doi: 10.1155/2013/761793

Table 1.

Summarizing the cases of CA-MRSA prostatic abscess reported.

Author
year
Age Clinical findings Comorbidites Drainage method Microbiology Outcome Imaging Country of origin
Baker et al. 2004 [8] 43 Hesitancy, low stream, dysuria, afebrile, and leukocytosis IVD abuser, hep C TURP
3 weeks of IV
vancomycin followed by 2 weeks of TMX
CA-MRSA in prostatic fluid Survived Right lobe 4.4 × 2.7 cm USA

Pierce et al. 2008 [12] 64 Dysuria, tender prostate, fever, and leukocytosis Newly diagnosed diabetes Percutaneous drainage
Vancomycin IV for 4 weeks
CA-MRSA in blood, urine, and prostatic fluid Survived Prostatic abscess 10 × 6 cm USA

Gautam et al. 2008 [10] 51 Fever, dysuria, and suprapubic pain Newly diagnosed AIDS TURP
Vancomycin
TMX, ciprofloxacin
CA-MRSA in prostatic fluid Expired Multiple low echogenic areas suggestive of an abscess USA

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

Park et al. 2011 [11] 45 Dysuria, perianal discomfort, fever, and leukocytosis Diabetes TURP+
vancomycin for 10 days
CA-MRSA in prostatic fluid Survived Large abscess, measuring 7 × 10 cm, bilateral, and extended into both seminal vesicles Republic of Korea

Flannery and Humphrey 2012 [9] 49 Difficult urination, micturition, afebrile, and leukocytosis Diabetes TURP+
vancomycin
Doxycycline (1 month)
CA-MRSA in urine and prostatic fluid Survived Hypodensities consistent with prostate abscesses USA

This report 2013 52 Acute urinary retention, afebrile, and no leukocytosis Diabetes TURP+
vancomycin 5 days
TMX, rifampin (1 month)
CA-MRSA in urine, blood, and prostatic fluid Survived Multiple prostate abscesses, the largest measuring 4.6 × 2.4 × 3.5 cm, and a thickened urinary bladder wall USA