Click here to view. Prostatitis and Prostatodynia Acute Bacterial Prostatitis Acute bacterial prostatitis is characterized by abrupt onset of fever and chills with symptoms of urinary tract infection or obstruction, low back or perineal pain, malaise, arthralgia, and myalgias. The patient appears acutely ill and is usually a younger man. The prostate is enlarged, indurated, very tender, and warm. Prostate massage is contraindicated because it is painful and may cause Laboratory Evaluation Urine reveals WBC's.
Culture reveals gram-negative organisms such as E coli or other Enterobacteriaceae.
S. aureus prosatitis Imaging may be needed in severely ill patients to rule out an abscess and need for surgery. Treatment requires 28 days of antibiotic treatment. A fluoroquinolone, such as ofloxacin is the drug of choice. 400 mg PO bid. 100 mg PO bid.