Life-threatening meningitis resulting from transrectal prostate biopsy.
- Author:
Zhou-Jun SHEN
1
;
Shan-Wen CHEN
;
Hua WANG
;
Xie-Lai ZHOU
;
Ju-Ping ZHAO
Author Information
1. Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China. shenzhj@mail.hz.zj.cn
- Publication Type:Case Reports
- MeSH:
Adenocarcinoma;
pathology;
Aged;
Anti-Infective Agents;
administration & dosage;
Anti-Infective Agents, Urinary;
administration & dosage;
Biopsy;
adverse effects;
Escherichia coli Infections;
drug therapy;
etiology;
Humans;
Levofloxacin;
Male;
Meningitis;
etiology;
microbiology;
prevention & control;
Metronidazole;
administration & dosage;
Ofloxacin;
administration & dosage;
Prostatic Neoplasms;
pathology;
Ultrasound, High-Intensity Focused, Transrectal
- From:
Asian Journal of Andrology
2005;7(4):453-455
- CountryChina
- Language:English
-
Abstract:
After antibiotic prophylaxis with metronidazole and levofloxacin, a transrectal sextant biopsy was performed under the guide of transrectal ultrasonography (TRUS) for a 75-year-old suspicious patient with prostate adenocarcinoma. Although antibiotics were also given after this procedure, the patient still developed fever, anxious, agrypnia and headache. Blood cultures remained negative. Lumbar puncture was performed and was consistent with Escherichia coli bacterial meningitis.
