Prostate abscess: A comprehensive review of the literature

Ridgway, Alex; Luk, Angus; Pearce, Ian

doi:10.1177/2051415819850996

Cited by 4 publications

(12 citation statements)

References 41 publications

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“…In adults, diabetes mellitus has been identified as the most common co-morbidity, with a reported co-prevalence of 63%. 1 Other causes of immunosuppression including human immunodeficiency virus (HIV), liver cirrhosis, renal failure and haemodialysis have been cited as predisposing factors for prostatic abscess. 1 Chemotherapy, organ transplant or previous genitourinary procedures also present a higher risk of prostatic abscess.…”

Section: Discussionmentioning

confidence: 99%

“…This includes a variety of organisms, including S. aureus, Mycobacterium tuberculosis, E. coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Burkholderia pseudomallei and Candida spp. 1 …”

Section: Discussionmentioning

confidence: 99%

“…Hence it is often only diagnosed after the failure to respond to medical treatment. 1 The diagnosis may be difficult because flocculence is present in only one third of patients. In addition, rectal examinations are not routine for infants.…”

Section: Discussionmentioning

confidence: 99%

“… 9 A prostate abscess appears hypointense on T1-weighted MRI and hyper-intense on T2-weighted images. 1 …”

Section: Discussionmentioning

confidence: 99%

“…Prostate abscess (PA) occurs as a result of the focal accumulation of pus in the prostate gland and is commonly related to the spread of Gram-negative bacilli from the urinary tracts. 1 W. Allison in 1842 initially described a fatal case of a PA complicated by spontaneous urethral rupture into the recto prostatic fascia. 2 …”

Section: Introductionmentioning

confidence: 99%

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Prostate abscess in a paediatric patient: A rare diagnosis

Vanmali

Haines

2021

South African Journal of Radiology

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Prostate abscess (PA) is an uncommon clinical manifestation that typically presents in the fifth to sixth decade of age and sporadically affects neonates. These characteristics, coupled with the atypical presentation, represent a clinical dilemma and a challenging diagnosis. A detailed history depicting the clinical course and the presence of risk factors is imperative to alert the clinician of the possibility of a PA. In this case report, we present a surgically confirmed PA, a diagnosis that is rarely encountered within the paediatric age group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“… 9 A prostate abscess appears hypointense on T1-weighted MRI and hyper-intense on T2-weighted images. 1 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prostate abscess in a paediatric patient: A rare diagnosis

Vanmali

Haines

2021

South African Journal of Radiology

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The Changing Epidemiology and Microbiology of Patients With Prostate Abscess: Increase in Staphylococcal Infection

McCormick

Kaplan

Whigham

et al. 2021

Open Forum Infectious Diseases

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Background Prostatic abscesses are rare and have been most commonly associated with gram-negative bacteria; however, Staphylococcus aureus has emerged as a leading cause, particularly in persons who are immunocompromised. Methods We conducted a retrospective chart review of all patients discharged from Ben Taub Hospital with a diagnosis of prostatic abscess during January 2011–January 2019. Demographic, clinical, microbiologic, and radiographic data were abstracted from the patients’ charts and analyzed for comorbidities, causative organisms, clinical course, and outcomes. Results We identified 32 patients with a prostatic abscess during the study period. S. aureus was the most common causative organism (18/32, 56%). Most patients (24/32, 75%) were admitted to a general medicine service, and the median length of stay was 9 days. Twenty-one patients (66%) were treated with a combination of surgical drainage and antibiotic therapy; 11 (34%) were treated with antibiotics alone. All patients treated with antibiotics alone had full clinical recovery. Two patients (6.3%) died, both of whom had septic shock secondary to disseminated S. aureus infection. Conclusions Prostatic abscesses are rare and can be difficult to diagnose, leading to significant morbidity and mortality. S. aureus is a frequent causative organism especially in persons with diabetes mellitus or other immunocompromising conditions. Hematogenous spread of S. aureus infection to the prostate appears common. Prostatic abscesses can serve as the nidus of disseminated S. aureus infection.

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Pediatric Prostatic Abscess Caused by Methicillin-Resistant Staphylococcus aureus

Rashed¹,

Albarakati²,

Fintyana³

et al. 2021

Cureus

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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 Staphylococcus aureus (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.

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Prostate abscess: A comprehensive review of the literature

Cited by 4 publications

References 41 publications

Prostate abscess in a paediatric patient: A rare diagnosis

Prostate abscess in a paediatric patient: A rare diagnosis

The Changing Epidemiology and Microbiology of Patients With Prostate Abscess: Increase in Staphylococcal Infection

Pediatric Prostatic Abscess Caused by Methicillin-Resistant Staphylococcus aureus

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