Sakakiyama Minoru, Hayashi Koji, Tada Miki, Hayashi Maho, Nakaya Yuka, Sato Mamiko, Iwasaki Toshiko, Kobayashi Yasutaka, Mizuno Katsunori
Department of Internal Medicine, Fukui General Hospital, Fukui, JPN.
Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Cureus. 2025 Jun 18;17(6):e86265. doi: 10.7759/cureus.86265. eCollection 2025 Jun.
We describe a case of a prostatic abscess (PA) caused by (). The patient was a 71-year-old immunocompetent man who was hospitalized due to lumbar surgery. A urethral catheter was placed perioperatively. On postoperative day (POD) 6, the patient developed a fever of 38.5°C, elevated inflammatory markers including leukocytosis and C-reactive protein, and pyuria. Blood and urine cultures were positive for . Contrast-enhanced computed tomography revealed a hypodense area in the prostate, consistent with PA. The patient was treated with levofloxacin, and his symptoms resolved by POD 11. He was discharged on POD 27 with no signs of recurrence. PA can exhibit diverse, nonspecific symptoms, necessitating clinical suspicion and thorough diagnostics. Identifying as the causative agent highlights the need to consider atypical pathogens in postoperative or nosocomial cases, especially in patients with urinary catheters. Further research is needed to explore the pathogenic mechanisms and optimal management of PA caused by uncommon organisms like , emphasizing that early detection and tailored treatment are vital for improving patient outcomes and reducing complications.
我们描述了一例由（）引起的前列腺脓肿（PA）病例。患者为一名71岁免疫功能正常的男性，因腰椎手术入院。围手术期放置了尿道导管。术后第6天（POD 6），患者出现发热，体温达38.5°C，炎症指标升高，包括白细胞增多和C反应蛋白升高，以及脓尿。血培养和尿培养（）呈阳性。增强计算机断层扫描显示前列腺内有一个低密度区，符合前列腺脓肿表现。患者接受左氧氟沙星治疗，其症状在术后第11天缓解。他于术后第27天出院，无复发迹象。前列腺脓肿可表现出多样的非特异性症状，需要临床怀疑并进行全面诊断。确定（）为病原体凸显了在术后或医院感染病例中考虑非典型病原体的必要性，尤其是在留置导尿管的患者中。需要进一步研究以探索由（）等罕见病原体引起的前列腺脓肿的致病机制和最佳治疗方法，强调早期检测和针对性治疗对于改善患者预后和减少并发症至关重要。
