IRPMSRACLIN1-047

Jonathan is 31 years old and presents with a 2 week history of fevers, myalgia, increased urinary frequency, dysuria and perineal pain. He denies any haematuria, urethral discharge, testicular pain or lumps.

On examination his temperature is 37.8 °C and rest of observations are unremarkable. Urine dipstick is positive for nitrites and leucocytes and abdominal examination is normal. Rectal examination reveals a tender, warm, swollen prostate and acute prostatitis is suspected.

What is the single most appropriate initial management option?

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