Prostate abscess caused by Nocardia farcina.

Nocardia farcinica usually infects the respiratory tract and can sometimes cause central nervous system infections; however, it rarely infects the prostate. Here we report the first case of N. farcinica detected in the purulence specimen drained from a prostate abscess. A 70-year-old Japanese male receiving steroid and cyclosporine treatment came to our department with chief complaint of turbid urine. Computed tomography revealed a low-density lesion in his prostate. Antibiotic administration and prostatic drainage were effective. N. farcinica was detected in the cultures of urine and prostatic drainage purulence specimens. Nocardiosis should be included in the differential diagnosis in immunosuppressive patients with prostate abscess.

IDCases. 2019 Sep 09*** epublish ***

Ippei Sakamaki, Akitoshi Ueno, Hitoshi Kawasuji, Yuki Miyajima, Koyomi Kawago, Yuichiro Hishikawa, Yoshinori Ikehata, Yasuyoshi Fujiuchi, Hiroshi Kitamura, Yoshihiro Yamamoto

Department of Clinical Infectious Diseases, Toyama University Hospital, Toyama, Japan., Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan.