A 30-year-old man is complaining of dysuria, chills, fever, and muscle aching. Vital signs reveal a temperature of 101°F. He denies being sexually active for the past year. The physical examination was unremarkable except for the digital rectal exam, which reveals a very tender prostate. What is the treatment strategy?
A) Antibiotic coverage for Syphilis
B) Urinary catheterization to prevent urinary retention
C) Antibiotics to cover Escherichia coli
D) Hospitalization for intravenous broad spectrum antibiotic administration

Question

Quizplus · Accepted Answer

The symptoms and tender prostate on examination suggest acute bacterial prostatitis, commonly caused by Escherichia coli. Antibiotics targeting E. coli are the appropriate treatment.

A 30-Year-Old Man Is Complaining of Dysuria, Chills, Fever, and Muscle