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

Tanima Jana,Jen-Jung Pan,Jorge D Machicado,Giovanni E Davogustto

doi:10.1155/2014/854824

Abstract

Prostatic abscesses are usually related to gram-negative bacilli. However, methicillin-resistant Staphylococcus aureus (MRSA) has emerged as a substantial cause of prostatic abscesses in recent years. Herein, we report the case of a 31-year-old man with a history of orthotopic liver transplantation 10 years ago who presented with acute onset dysuria and abdominal pain and was diagnosed with a MRSA prostatic abscess. To our knowledge, this is the first case describing a prostatic abscess in a liver transplant recipient and the first reporting MRSA as the causative organism of a prostatic abscess in a solid organ transplant recipient.

Highlights

A prostatic abscess is a rare entity, usually caused by organisms from the family Enterobacteriaceae or genus Enterococcus
Staphylococcus aureus infection is typically associated with skin diseases, it has emerged as a substantial cause of prostatic abscesses in recent years [1]
Common symptoms of a prostatic abscess include fever, dysuria, increased urinary frequency, acute urinary retention, perineal pain, back pain, and hematuria [3, 7]. Many of these symptoms might be absent in immunosuppressed subjects, and a prostatic abscess should be suspected in these patients if found with methicillinresistant Staphylococcus aureus (MRSA) bacteriuria or MRSA bacteremia of unknown source

Summary

Introduction

A prostatic abscess is a rare entity, usually caused by organisms from the family Enterobacteriaceae or genus Enterococcus. S. aureus, a major cause of infection among solid organ transplant recipients, occurs most commonly within the first 2 months following liver transplantation and is associated with a high morbidity and mortality [2]. We report the case of a 31-year-old man with a history of orthotopic liver transplantation 10 years ago, chronic immunosuppression, and ulcerative colitis, who presented with acute onset dysuria and abdominal pain. He was found to have a prostatic abscess and bacteremia caused by methicillinresistant Staphylococcus aureus (MRSA). To the best of our knowledge, this is the first case describing a prostatic abscess in a liver transplant recipient and the first reporting MRSA as the causative organism of a prostatic abscess in a solid organ transplant recipient

Case Presentation

Discussion

20 Hepatitis C

Findings

Conclusion

Conflict of Interests