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首页> 外文期刊>Medical Case Studies >Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier
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Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier

机译：美国士兵对甲氧西林耐药的金黄色葡萄球菌前列腺脓肿

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Prostatic abscess caused by methicillin resistant Staphylococcus aureus (MRSA) is rare with few previously reported cases. This appears to be the first identifiable report of a healthy, immunocompetent individual developing a community acquired prostatic abscess. A 35 year old male soldier presented to the emergency room complaining of chills, malaise, pelvic pain, tenesmus, dysuria and bloody urine. On admission, he was found to have a high grade fever, abdominal pain, and leukocytosis. He was started on vancomycin. Computed tomography (CT) scan of the abdomen and pelvis revealed fluid-filled sacs inside his prostate, consistent with abscesses. Subsequently, a transurethral prostatic resection was performed with an incision and drainage revealing a MRSA prostatic abscess. Repeat CT of the abdomen/pelvis after six weeks of treatment showed a decrease in the size and number of prostatic abscesses. MRSA prostatic abscesses have been documented in the medical literature primarily of immunocompromised individuals with diabetes mellitus, human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS), or preceded by MRSA pneumonia, and not of healthy people. The treatment strategy of a prostatic MRSA abscess is similar to that of skin MRSA abscess with incision and drainage of the abscess and three to six weeks of antibiotics, depending on patient tolerance.
机译：由耐甲氧西林的金黄色葡萄球菌（MRSA）引起的前列腺脓肿很少见，以前报道的病例很少。这似乎是健康，具有免疫能力的个体发展为社区获得性前列腺脓肿的首次可鉴定报告。一名35岁的男性士兵出现在急诊室，抱怨发冷，不适，骨盆疼痛，里急后重，排尿困难和尿血。入院时发现他发高烧，腹痛和白细胞增多。他开始服用万古霉素。腹部和骨盆的计算机断层扫描（CT）扫描显示前列腺内充满液体的囊，与脓肿一致。随后，进行经尿道前列腺切除术，切开并引流，显示出MRSA前列腺脓肿。治疗六周后重复腹部/骨盆CT检查显示前列腺脓肿的大小和数量减少。医学文献中已记录了MRSA前列腺脓肿，主要是针对免疫功能低下的糖尿病，人类免疫缺陷病毒（HIV）或获得性免疫缺陷综合症（AIDS）的个体，或在MRSA肺炎之前，而非健康人群。前列腺MRSA脓肿的治疗策略与皮肤MRSA脓肿的治疗策略相似，需要切开和引流脓肿并使用三到六周的抗生素，具体取决于患者的耐受性。

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