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Infective endocarditis after transrectal prostatic biopsy.

France Roblot1, Moal Gwenaël Le, Jacques Irani

  • 1Department of Internal Medicine, University Hospital, La Miletrie, Poitiers, France.

Scandinavian Journal of Infectious Diseases
|April 4, 2002
PubMed
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Infective endocarditis, a heart valve infection, can occur after a transrectal prostatic biopsy. This case highlights a potential complication, even in patients without typical risk factors for the condition.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Urology

Background:

  • Transrectal prostatic biopsy is a common urological procedure.
  • Infective endocarditis is a serious infection of the heart valves.
  • Risk factors for infective endocarditis typically include pre-existing heart conditions or intravenous drug use.

Observation:

  • A patient developed infective endocarditis two weeks post-transrectal prostatic biopsy.
  • The patient had no apparent pre-existing risk factors for infective endocarditis.
  • Enterococcus faecalis was identified in both blood and urine cultures.

Findings:

  • This case represents the first reported instance of infective endocarditis following a transrectal prostatic biopsy.
  • Enterococcus faecalis bacteremia was confirmed.

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  • The temporal association suggests a causal link between the procedure and the subsequent infection.

    • Implications:

    • Transrectal prostatic biopsy may be an under-recognized risk factor for infective endocarditis.
    • Clinicians should consider infective endocarditis in patients presenting with relevant symptoms after this procedure.
    • Further research may be warranted to elucidate the incidence and mechanisms of this complication.