• David E Carroll, Ian Marr, Huang G Khai Lin GKL Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia., Deborah C Holt, Tong Steven Y C SYC Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia. , and Craig S Boutlis.
• Department of Infectious Diseases, Royal Darwin Hospital, Darwin, Northern Territory, Australia. dcarroll06@qub.ac.uk.
• Bmc Infect Dis. 2017 Jul 21; 17 (1): 509.

BackgroundProstatic abscess is a rare complication of acute bacterial prostatitis and is most commonly caused by Enterobacteriaceae. We report on a case of prostatic abscess caused by Staphylococcus aureus and conduct a review of the literature.Case PresentativeWe present a case of S. aureus prostatic abscess that was successfully treated with a combination of antibiotic and surgical therapy. The isolate was non–multidrug-resistant, methicillin-resistant Staphylococcus aureus and was genotyped as clonal complex 5, an emerging regional clone that is trimethoprim resistant and Panton-Valentine leukocidin positive. This current case report is the first to describe the use of clindamycin step-down therapy. A literature review identified a further 39 cases of S. aureus prostatic abscesses, of which 26 were methicillin resistant.ConclusionS. aureus is an uncommon cause of prostatic abscess. Optimal management includes both antibiotic therapy and surgical drainage. Our use of clindamycin as step-down therapy was guided by its excellent prostatic penetration.

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