Rashed Atef A, Albarakati Moath H, Fintyana Ola G, Melebary Ruwaidah H, Alharbi Albandari H, Bukhari Deemah H, Rashed Asem A
General Pediatric, Pediatric Department, Maternity and Children's Hospital, Makkah, SAU.
Family Medicine, Maternity and Children's Hospital, Makkah, SAU.
Cureus. 2021 Dec 22;13(12):e20598. doi: 10.7759/cureus.20598. eCollection 2021 Dec.
While prostatic abscesses infrequently occur in adults, they are extremely rare in children. We present a rare case of a prostatic abscess in a 13-year-old male patient caused by methicillin-resistant (MRSA). The patient had no significant past history and presented to our clinic reporting a two-week history of lower abdominal pain, foul-smelling urethral discharge, a burning sensation during urination with pain in the tip of his penis, and itchiness around the anus. On examination, we noted lower abdominal tenderness, and on per rectal examination, we noted tenderness in the anterior wall of the rectum. A culture from the urethral discharge was positive for MRSA. The patient was diagnosed with a prostatic abscess and was started on antibiotics. We performed ultrasound-guided transrectal drainage, and afterward, the patient's condition improved. He was doing well on the last follow-up. This case reminds physicians to consider prostatic abscesses in patients with lower urinary tract infections that do not respond to antibiotics.
虽然前列腺脓肿在成人中很少见，但在儿童中极为罕见。我们报告一例罕见的13岁男性患者因耐甲氧西林金黄色葡萄球菌（MRSA）引起的前列腺脓肿。该患者既往无重大病史，到我们诊所就诊时报告有两周的下腹痛、尿道脓性分泌物、排尿时阴茎头有烧灼感及肛周瘙痒病史。检查时，我们发现下腹部压痛，直肠指检时发现直肠前壁压痛。尿道分泌物培养显示MRSA阳性。该患者被诊断为前列腺脓肿并开始使用抗生素治疗。我们进行了超声引导下经直肠引流，之后患者病情好转。最后一次随访时他情况良好。该病例提醒医生，对于抗生素治疗无效的下尿路感染患者要考虑前列腺脓肿。
