Asian Journal of Andrology 2005;7(4):453-455

Life-threatening meningitis resulting from transrectal prostate biopsy.

Zhou-Jun SHEN 1 ; Shan-Wen CHEN ; Hua WANG ; Xie-Lai ZHOU ; Ju-Ping ZHAO

Affiliations

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Country

China

Language

English

MeSH

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.