Prostatic Abscess - A Rare Causative Organism

A 60-year-old male with diabetes presented with fatigue, urinary frequency, and suprapubic pain for 2 weeks. Patient resides in southern California and denied other symptoms. Laboratory workup showed leukocytosis (16.4 bil/L) and hyperglycemia (463 mg/dL) and urine culture grew 50,000 cfu/mL mixed flora with negative blood cultures. After no clinical improvement with piperacillin/tazobactam for presumed UTI, computed tomography demonstrated a multi-loculated prostatic abscess with regional cystitis (Figure 1).