A 31-year-old man was admitted to the hospital with hemoptysis and progressive dyspnea. He was well until 4 months prior to hospital admission, when night sweats, anorexia, fevers, and 30-lb weight loss developed. Two months prior to hospital admission, he began to experience rectal pain, dysuria, and hematuria. One month prior to hospital admission, he presented with acute urinary retention at the emergency department. His prostate on digital rectal examination was enlarged and tender, and a CT of the pelvis suggested that he had prostatic abscess. A transurethral prostatic resection uncovered pockets of pus and friable tissues. Microscopically, acute and chronic necrotizing prostatitis was seen (Fig 1
) He was discharged home on oral antibiotics.