A 60-year-old man with a history of diabetes mellitus type 2 presented to the emergency department with 3 weeks of worsening lower abdominal and pelvic pain. On arrival, he was febrile (38.9˚C) with a white blood cell count of 20,000. He had tachycardia and was hypotensive. He was stabilized with fluid resuscitation. A computed tomography scan revealed a 5 cm multi-loculated prostatic abscess.
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