Delayed spinal enterococcus faecalis infection after prostate biopsy: a case report
10.3760/cma.j.cn112330-20250310-00084
- VernacularTitle:前列腺穿刺术后迟发性脊柱粪肠球菌感染1例报告
- Author:
Shanchun TAO
1
;
Chunhua YU
1
;
Qiming CHEN
1
Author Information
1. 绍兴市上虞人民医院骨科，绍兴 312300
- Publication Type:Journal Article
- Keywords:
Biopsy;
Prostate;
Spinal infection;
Enterococcus faecalis;
Complications
- From:
Chinese Journal of Urology
2025;46(9):715-716
- CountryChina
- Language:Chinese
-
Abstract:
Enterococcus faecalis is distributed in the intestines and rarely becomes a pathogen of spinal infection. This article reports a case of delayed spinal enterococcus faecalis infection caused by transperineal prostate biopsy. The patient was found to have a serum tPSA level of 33.418 ng/ml during prostate cancer screening. A prostate biopsy was performed，and the pathological result was benign prostatic hyperplasia. One month after the operation，the patient presented with recurrent low back pain. Contrast-enhanced MRI of the lumbar spine showed infectious lesions of the T12 and L1 vertebrae with pathological compression fractures. A puncture biopsy of the diseased vertebra was performed，and the metagenomic test showed enterococcus faecalis infection. Anti-infection and bed rest conservative treatment were given. Follow-up for 1 year showed fracture healing and infection control.
