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Case Report
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| Community acquired methicillin resistant staphylococcus aureus (CA-MRSA) prostatic abscess in a diabetic patient |
| Iqra Javeed1, Parul Kaushik2, Mashiul Chowdhury3, Brandon Palermo3 Christopher L Emery4 |
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1Medical Student, Department of Infectious Diseases, Drexel University College of Medicine, Philadelphia, PA, USA.
2Fellow, Department of Infectious Diseases, Drexel University College of Medicine, Philadelphia, PA, USA. 3Assistant Professor, Department of Infectious Diseases, Drexel University College of Medicine, Philadelphia, PA, USA. 4Associate Professor, Department of Pathology, Clinical Microbiology Laboratories, Hahnemann University Hospital, Philadelphia, PA, USA. |
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doi:10.5348/ijcri-2012-91-CR-5
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Address correspondence to: Iqra Javeed 54 Avenue B Lodi New Jersey USA 07644 Phone: 1-973-930-4764 Email: iqrajaveed@gmail.com |
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| How to cite this article: |
| Javeed I, Kaushik P, Chowdhury M, Palermo B, Emery CL. Community acquired methicillin resistant staphylococcus aureus (CA-MRSA) prostatic abscess in a diabetic patient. International Journal of Case Reports and Images 2012;3(2):20-23. |
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Abstract
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Introduction:
Prostatic abscess caused by community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) is very rare with very few previously reported cases. We present here another such case where the signs and symptoms of the patient are markedly different than previously reported cases.
Case Report: A 50-years-old man with diabetes presented to the hospital with cough, fever, general malaise, weight loss, and diffuse abdominal pain. On admission, he was found to have a high grade fever, crackles in left lung, right lower quadrant abdominal pain, and leukocytosis. He was empirically started on levofloxacin and vancomycin. Computed tomography (CT) of the chest showed peripheral ground-glass opacities in the left lung suspicious of septic emboli. His blood and urine cultures both grew MRSA. CT scan of the abdomen and pelvis was done due to his complaint of abdominal pain that showed an enlarged prostate with multiple prostatic abscesses. The largest prostatic abscess was drained under CT guidance, which also grew MRSA. Repeat CT of the abdomen/pelvis and chest after three weeks of treatment showed a decrease in the size and number of prostatic abscesses and pulmonary opacities. Genetic analysis of the isolate was consistent with a CA-MRSA strain. Conclusion: The clinical presentation of our case markedly differs from previously reported cases, as our patient had no signs and symptoms of dysuria, perineal pain, or urinary hesitancy. Also unlike the other cases, we confirmed the identity of MRSA isolate as USA 300 strain, which is the dominant strain of CA-MRSA in the United States. Proper management of prostatic abscess includes drainage as well as appropriate antibiotic therapy. | |
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Key Words:
Community acquired methicillin resistant Staphylococcus aureus; CA-MRSA; prostatic abscess
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Author Contributions:
Iqra Javeed - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Parul Kaushik - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mashiul Chowdhury - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Brandon Palermo - Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Christopher L. Emery - Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of Submission. |
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Source of support:
None |
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Conflict of interest:
The authors declare no conflict of interest. |
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Copyright:
© Iqra Javeed et al. 2012; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see http://www.ijcasereportsandimages.com/copyright-policy.php for more information.) |
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