Shiramizu Seiya, Aono Hisami, Aramaki Kazunobu, Morinaka Emi, Fujimoto Naohiro
Urology, Local Incorporated Administrative Agency, Kurate Hospital, Kurate, JPN.
Urology, University of Occupational and Environmental Health, Kitakyusyu, JPN.
Cureus. 2025 Jul 22;17(7):e88554. doi: 10.7759/cureus.88554. eCollection 2025 Jul.
() is a rare, multidrug-resistant bacterium that occasionally causes opportunistic infections in the environment. We report the first documented case of acute prostatitis caused by in a 95-year-old man following transurethral water vapor energy therapy for benign prostatic hyperplasia. The patient developed fever and prostatic tenderness postoperatively, with CT findings consistent with prostatitis. The initial empirical treatment with piperacillin/tazobactam was ineffective. Urine culture revealed a multidrug-resistant bacterium susceptible only to minocycline, which was identified as by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and 16S rRNA sequencing. Treatment with minocycline led to clinical improvement. This case underscores the importance of considering rare pathogens in patients with indwelling catheters or postoperative infections, particularly when standard antimicrobial therapies prove ineffective. Accurate microbiological diagnosis and appropriate treatment based on antimicrobial susceptibility testing are essential in managing such infections.
（某种细菌名称）是一种罕见的多重耐药细菌，偶尔会在环境中引起机会性感染。我们报告了首例有记录的由该细菌导致的急性前列腺炎病例，患者为一名95岁男性，在接受经尿道水蒸气能量疗法治疗良性前列腺增生后发病。患者术后出现发热和前列腺压痛，CT检查结果与前列腺炎相符。最初使用哌拉西林/他唑巴坦进行经验性治疗无效。尿液培养发现一种仅对米诺环素敏感的多重耐药细菌，通过基质辅助激光解吸/电离飞行时间质谱和16S rRNA测序鉴定为该细菌。使用米诺环素治疗后临床症状改善。该病例强调了对于留置导管患者或术后感染患者，尤其是在标准抗菌治疗无效时，考虑罕见病原体的重要性。准确的微生物学诊断以及基于药敏试验的适当治疗对于管理此类感染至关重要。
