- A 27-year-old African American presents with fever, chills, lower back pain, dysuria, and urinary frequency. Rectal exam reveals a tender prostate, the prostate message specimen contains Escherichia Coli (>100,000).
- Inflammation of the prostate gland
- May be acute or chronic
- acute prostatitis
- infectious process
- < 35 years most commonly C.trachomatis, N.gonorrhoeae
- > 35 years most commonly E.coli, P.aeruginosa, K.pneumoniae
- chronic prostatitis
- can be non infectious (bicycle riding)
- can involve recurrent infections
- low back pain
- urinary frequency
- Physical exam
- possible fluctuant and swollen prostate
- acute - very painful on DRE
- chronic - less painful on DRE
- especially during the end of micturition which is the prostate component
- may also collect urine following a prostate massage
- contraindicated in acute prostatitis
- Acute (<35)
- treat STDs
- ceftriaxone with either azithromycin or doxycycline
- Acute (>35)
- ciprofloxacin with TMP-SMX
- ciprofloxacin and alpha blockers
AVERAGE 5.0 of 1 RATINGS
Qbank (0 Questions)
Level of Evidence 5 and Other Journal Articles (includes Case Reports, Expert Opinions,
Personal Observations, and Biomechanic Studies)
Sharp VJ, Takacs EB, Powell CR. Prostatitis: diagnosis and treatment. Am Fam Physician. 2010 Aug 15;82(4):397-406.
PMID:20704171 (Link to Abstract)
- First Aid for the USMLE STEP 2 CK. Le Tao. New York: McGraw-Hill Medical, 2012.
- Brochert's Crush Step 2. O'Connell, Theodore. Philadelphia: Elsevier Saunders, 2013.
- Master the Boards USMLE Step 2 CK. Fischer, Conrad. New York: Kaplan Publishing, 2012.
- Boards and Wards for USMLE Steps 2 and 3. Ayala, Carlos. New York: Lippincott Williams and Wilkins, 2012.