Diagnosis and treatment of community-associated methicillin-resistant Staphylococcus aureus prostatic abscess involving the seminal vesicle: A case report

Abstract

Prostatic abscess involving the seminal vesicle is a rare disease due to the widespread use of broad-spectrum antibiotics in patients with lower urinary tract symptoms. With the elevated risk of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA), a great emphasis on its pathogenicity in prostatic abscesses is required. To the best of our knowledge, this is the first study to describe the use of ultrasound perfusion imaging and traditional computed tomography to diagnose a patient with CA-MRSA prostate abscess involving the seminal vesicle. In the present case, the patient was successfully treated via adjuvant antibiotics and transrectal ultrasonography (TRUS)-guided prostate needle aspiration. Prostatic abscess involving the seminal vesicle is an uncommon disease with a potential risk of mortality if the appropriate treatment is not provided, and thus deserves particular attention. Ultrasound perfusion imaging plays an important role in the diagnosis of prostatic abscess involving the seminal vesicle. In the present case, early treatment with adjuvant antibiotics and TRUS-guided needle aspiration of the prostatic abscess resulted in a shorter hospital stay, and lower risk of local recurrence and mortality.

Staphylococcus aureus Prostatic abscess: a clinical case report and a review of the literature

“…In addition one patient [8] had urinary cultures positive for Candida albicans and one patient [9] was co-infected with E. coli , Bacteroides and Klebsiella pneumoniae .…”

“…23/40 (57.5%) cases in this report had positive blood culture results for S. aureus but due to variable quality of reporting in the literature, we are unable to determine if all cases had blood cultures taken . In addition one patient [ 8 ] had urinary cultures positive for Candida albicans and one patient [ 9 ] was co-infected with E. coli , Bacteroides and Klebsiella pneumoniae .…”

Viruses, bacteria and parasites: infection of the male genital tract and fertility

“…• Temporary or permanent oligozoospermia to azoospermia [142] Staphylococcus aureus • Seminal vesicles and semen [127,[147][148][149][150][151][152][153][154][155][156] • Testis [157] • Prostate [125,151,158,159] • Seminal vesicle, prostatic and testicular abscesses [125,150,151,157,159,160] • Epididymo-orchitis [150,157] • Foci of prostatic and testicular necrosis [157,160] • Enlarged and tender prostate [125,150,151,158,160] • Dysuria [125,150,151,157,158] • Controversial [148,[152][153][154][155] Treponema pallidum • Semen [161,162] • Penis [162,163] • Testis [164]…”

“…Less rare are the prostatic abscesses due to S. aureus infection. The most prevalent associated symptoms are urinary urgency, frequency, and/or retention, and dysuria [125,151,[158][159][160]. Whatever their location, these abscesses were never mentioned to be the source of severe tissue lesions which could induce infertility.…”