Kidney and prostatic abscesses secondary to Burkholderia cepacia: A unique constellation in an HIV-positive male

We report the first case of Burkholderia cepacia infection leading to multiple kidney abscesses and concomitant prostatic abscess in a human immunodeficiency virus (HIV)-positive 21-year-old male. The patient initially presented with generalized abdominal pain, and computed tomography (CT) demonstrated left renal microabscesses. A follow-up CT scan demonstrated worsening of the kidney abscesses and a cystic lesion in the right prostate gland suggestive of an abscess. Transrectal ultrasound guided drainage of the abscess was followed by transurethral resection of the prostatic abscess. All clinicians need vigilance and an open-mind when investigating etiologies for infectious disease processes in HIV-positive patients.