Successful Treatment of Prostatic Abscess Accompanied by Methicillin-Resistant Staphylococcus aureus Bacteremia Using a Percutaneous Fine-Needle Aspiration under the Computed Tomography Guidance.
10.12771/emj.2016.39.1.32
- Author:
Kyung Ho LEE
1
;
Dong Il KIM
;
Hyo Jin YUN
;
Se Hee YOON
;
Sung Ro YUN
;
Won Min HWANG
Author Information
1. Division of Nephrology, Department of Internal Medicine, Konyang University Hospital, Daejeon, Korea. hwangwm@kyuh.ac.kr
- Publication Type:Case Report
- Keywords:
Prostate abscess;
Methicillin-Resistant Staphylococcus aureus bacteremia;
Computed tomography guided fine needle aspiration
- MeSH:
Abscess*;
Bacteremia*;
Biopsy, Fine-Needle*;
Drainage;
Follow-Up Studies;
Humans;
Methicillin Resistance*;
Methicillin-Resistant Staphylococcus aureus*;
Middle Aged;
Prognosis;
Prostate
- From:The Ewha Medical Journal
2016;39(1):32-35
- CountryRepublic of Korea
- Language:English
-
Abstract:
Prostatic abscess is not a common entity which is characterized by non-specific clinical presentations. This poses a diagnostic challenge for clinicians. Clinicians routinely consider antibiotic treatments concomitantly with drainage for the treatment of prostatic abscess. But there are no established guidelines for its optimal timing, methods and indications. Surgical drainage procedures include transurethral resection of the prostate and perineal incision and drainage. But there is variability in the prognosis of patients between the procedures. We have treated a 48-year-old diabetes patient with prostatic abscess accompanied by MRSA bacteremia using a percutaneous fine-needle aspiration under the computed tomography (CT) guidance. The patient achieved improvement of the symptoms and in follow up CT findings. A percutaneous drainage under the CT guidance is advantageous in that it causes fewer complications. However, Further studies are warranted to establish the optimal timing, methods and indications in patients with prostate abscess.