Flannery Michael T, Humphrey Deborah
Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.
Case Rep Med. 2012;2012:430657. doi: 10.1155/2012/430657. Epub 2012 Aug 30.
A middle age male with type 2 diabetes mellitus presented with urinary symptoms. Blood and urine cultures were consistent with Methicillin Resistant Staphylcoccal Aureus (MRSA). A computed tomography demonstrated mutiple prostatic microabscessess. No other hematogenous source was identified. Transurethral prostatic drainage and intravenous Vancomycin followed by oral doxcycline led to clinical success for this likely Community acquired case of MRSA (CA-MRSA). We discuss our case report and discuss the current literature on the trends, causation, diagnosis and treatment of MRSA induced prostatic abscess.
一名患有2型糖尿病的中年男性出现了泌尿系统症状。血液和尿液培养结果与耐甲氧西林金黄色葡萄球菌(MRSA)一致。计算机断层扫描显示前列腺有多个微脓肿。未发现其他血源性感染源。对于这个可能为社区获得性MRSA(CA-MRSA)病例,经尿道前列腺引流及静脉注射万古霉素,随后口服多西环素取得了临床成功。我们讨论了我们的病例报告,并探讨了目前关于MRSA引起的前列腺脓肿的趋势、病因、诊断和治疗的文献。