Case Report

Methicillin-Resistant Staphylococcus aureus Prostatic Abscess in a Liver Transplant Recipient

Table 1

Reported cases of Staphylococcus aureus prostatic abscess.

Age (years)Comorbidities/risk factorsTreatmentMicrobiology

Our patient31DM, OLTVancomycin + daptomycin HA-MRSA (urine, blood)

Deshpande et al., 2013 [19]49BPHVancomycin + doxycycline, TURP CA-MRSA (N/A)

Docekal et al., 2013 [5]56DMVancomycin, IR-guided abscess drainage ×2,
pigtail drain placement, TURP
CA-MRSA (prostate abscess)

Krishnamohan et al., 2013 [1]47Recent Trichomonas infectionVancomycin + linezolid, TURP, percutaneous and transperineal abscess drainageCA-MRSA (urine, prostate abscess)
20Hepatitis CVancomycin + linezolid, TURPCA-MRSA (prostate abscess)

Lachant et al., 2013 [7]47Recent penile furuncle, history of hypospadias with urethral strictureVancomycin, TURP CA-MRSA (urine, blood, lung, heart valve vegetation, kidney, prostate abscess)
31NoneVancomycin + daptomycin + TMP-SMX, TURP, transrectal abscess drainageCA-MRSA (blood, prostate abscess)

Naboush et al., 2013 [4]52DMVancomycin + TMP-SMX + rifampin, TURP,
transurethral unroofing of abscess
CA-MRSA (urine, blood, prostate abscess)

Sukhal et al., 2013 [20]57DMVancomycinCA-MRSA (urine, blood, nares)

Flannery and Humphrey 2012 [6]49DMVancomycin + doxycycline, TURPCA-MRSA (urine, blood, prostate tissue)

Javeed et al., 2012 [21]50DMVancomycin + daptomycin, CT-guided abscess drainageCA-MRSA (urine, blood, prostate abscess)

Matsumoto et al., 2012 [22]65DM, indwelling urethral catheterAntibiotics, transrectal abscess drainage MSSA (blood, prostate abscess, heart valve vegetation)

Abreu et al., 2011 [23]59DM, suppurative lesions in nasal cavityTMP-SMX + ciprofloxacin + vancomycin, percutaneous abscess drainageCA-MRSA (blood, prostate abscess)

Park et al., 2011 [24]45DMVancomycin, percutaneous abscess drainage, TURPCA-MRSA (blood, prostate abscess)

Tiwari et al., 2011 [25]N/AN/AIntravenous and oral antibiotics, surgical treatmentS. aureus
N/AN/AIntravenous and oral antibiotics, surgical treatmentS. aureus

Chao et al., 2009 [26]40N/AVancomycin + gentamicin, transperineal abscess drainageCA-MRSA (blood, prostate abscess)

Baradkar et al., 2008 [27]50DMCiprofloxacinMSSA

Gautam et al., 2008 [28]51HIVCiprofloxacin + TMP-SMX + vancomycin, transurethral abscess drainageCA-MRSA (blood, prostate abscess)

Lin et al., 2008 [29]55BPHVancomycinCA-MRSA (blood)

Pierce et al., 2008 [30]64DMVancomycin, percutaneous abscess drainageCA-MRSA (urine, blood, prostate abscess)

Beckman and Edson 2007 [31]53DMVancomycin + TMP-SMX + rifampinCA-MRSA (blood, prostate tissue, nares)

Cabrera Meirás et al., 2007 [32]51N/AAntibiotics, transrectal abscess drainage, urinary diversionS. aureus (prostate abscess)

Tobian and Obar 2007 [33]56DM, BPH, history of self-digital rectal examinationsVancomycin + rifampin, cystoscopy, percutaneous abscess drainage, transurethral unroofing of abscessMRSA (urine, blood)*

Shindel et al., 2006 [34]29Straddle injury to urethra, hepatitis CVancomycin, Cope loop catheter placement, urethroplastyCA-MRSA (prostate abscess)

Baker et al., 2004 [35]43Hepatitis C, intravenous drug abuseVancomycin + nafcillin + TMP-SMX, TURPCA-MRSA (blood, prostate abscess)

Fraser et al., 2003 [36]63DM, recent scrotal abscess drainageVancomycin, percutaneous abscess drainage, TURPHA-MRSA (urine, blood, prostate abscess)

Oliveira et al., 2003 [37]38HIVIntravenous antibiotics, surgical procedure unclearS. aureus
41NoneIntravenous antibiotics, surgical procedure unclearS. aureus
50DMIntravenous antibiotics, surgical procedure unclearS. aureus
50NoneIntravenous antibiotics, surgical procedure unclearS. aureus

Trauzzi et al., 1994 [38]35HIVIntravenous antibioticsS. aureus

Savarirayan et al., 1995 [39]50Recent salivary gland abscess treated with antibioticsCiprofloxacin + erythromycin, transperineal abscess drainage, perineal unroofing of abscessS. aureus

Gill et al., 1991 [40]42Recent fall with closed arm fractureOxytetracycline, transperineal abscess drainageMSSA (prostate abscess)

BPH, benign prostate hypertrophy; CA, community-acquired; DM, diabetes mellitus; HA, hospital-acquired; HIV, human immunodeficiency virus; IR, interventional radiology; OLT, orthotopic liver transplant; TURP, transurethral resection of prostate; TMP-SMX, trimethoprim-sulfamethoxazole; MRSA, methicillin-resistant Staphylococcus aureus; MSSA, methicillin-sensitive Staphylococcus aureus; N/A, not available.
*Community versus hospital-acquired MRSA status not given.
Susceptibility to methicillin was not reported.