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Related Experiment Videos

[Acute meningitis after transrectal prostate biopsy].

F Meisel1, C Jacobi, R Kollmar

  • 1Neurologische Klinik, Universität Heidelberg, Heidelberg. fabian_meisel@med.uni-heidelberg.de

Der Urologe. Ausg. A
|December 12, 2003
PubMed
Summary

Acute meningitis from Escherichia coli is rare in adults. This case highlights a risk following prostate biopsy, with successful treatment using cefotaxime.

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Area of Science:

  • Infectious Diseases
  • Neurology
  • Urology

Background:

  • Escherichia coli (E. coli) meningitis is uncommon in adult patients.
  • Medical procedures, including surgical interventions, are potential causes of E. coli meningitis.
  • Fecal E. coli transmission via bloodstream is a known infection route.

Observation:

  • A case of acute meningitis occurred post-transrectal prostate biopsy.
  • E. coli was detected in both cerebrospinal fluid and blood cultures.
  • The patient presented in a comatose state.

Findings:

  • Broad-spectrum antibiotics were initiated upon diagnosis.
  • Therapy was tailored to cefotaxime after E. coli isolation.
  • The patient showed rapid clinical improvement.

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Implications:

  • Transrectal prostate biopsy may pose a risk for E. coli meningitis.
  • Prompt diagnosis and targeted antibiotic therapy are crucial for favorable outcomes.
  • This case underscores the importance of considering iatrogenic causes of meningitis in adults.