2020 Volume 63 Issue 8 Pages 539-546
Case 1: A 46-year-old man with a medical history of type 2 diabetes mellitus (T2DM) presented to our hospital with chief complaints of thirst and malaise. On admission, he had a fever, increased inflammatory response, and high HbA1c (14.2 %). Blood cultures on admission were positive for Staphylococcus aureus, and abscesses were detected by contrast-enhanced computed tomography (CT) in the prostate, lung, and thigh muscles. The prostate abscess was treated by surgical drainage, and the infections resolved in response to cefazolin treatment. Case 2: A 64-year-old man with a 25-year history of DM and elevated HbA1c levels (13.4 %) was admitted to a hospital due to pyuria. Blood cultures indicated the growth of Staphylococcus aureus; cefazolin was initiated, and the patient was transferred to our hospital for further treatment. Contrast-enhanced CT revealed abscesses in the prostate and hip joint; both resolved with antibiotic administration. Prostate abscess is a rare disease in patients with DM. The infection has no specific symptoms, but it may result in bacteremia if left untreated.
