Dual perinephric and prostatic abscesses from methacillin-resistant Staphylococcus aureus

Aaron A.R. Tobian, Scott K. Ober

Research output: Contribution to journalArticlepeer-review

Abstract

Perinephric and prostatic abscesses may present with protean symptoms and often arise from ascending urinary tract infections. Both abscesses are often caused by uropathogens, and only on rare occasions is the etiology due to methacillin-resistant Staphylococcus aureus (MRSA). Perinephric and prostatic abscesses have never been reported to occur together. We present a 56-year-old male with poorly controlled diabetes that had recently begun performing daily self-digital rectal examinations, who presented with a three day history of urinary symptoms. The patient had bilateral costovertebral angle tenderness and a boggy, tender, enlarged prostate. Blood and urine cultures showed MRSA. CT scan of the abdomen and pelvis demonstrated right perinephric abscess and prostatic abscess. This case report illustrates the potential for simultaneous perinephric and prostatic abscesses by MRSA.

Original languageEnglish (US)
Pages (from-to)515-516
Number of pages2
JournalSouthern medical journal
Volume100
Issue number5
DOIs
StatePublished - May 2007
Externally publishedYes

Keywords

  • Methacillin-resistant Staphylococcus aureus (MRSA)
  • Noninsulin-dependent diabetes mellitus
  • Perinephric abscess
  • Prostatic abscess

ASJC Scopus subject areas

  • Medicine(all)

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