An Unusual Cause of Prostatic Abscess: A Case Report and Review of Literature

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Prostatic abscess is an uncommon infection that occurs in patients with preexisting medical conditions, diabetes mellitus, instrumentation of the lower urinary tract, indwelling urethral catheters, and bladder outlet obstruction. In the antibiotic era, the most common etiologic agents are Escherichia coli and other gram-negative organisms native to the urinary tract. We report a rare case of prostatic abscess caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). We also review cases of prostatic abscesses thought to be due to CA-MRSA in English-language literature, with regard to risk factors, clinical presentation, diagnosis, and management. Our case adds to a growing body of cases reported with prostatic abscesses caused by CA-MRSA, and questions whether surgical intervention is as necessary as it is thought to be.

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