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Updated: Aug 29, 2026

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
Published on: June 6, 2025
[Acute meningitis after transrectal prostate biopsy]
F Meisel1, C Jacobi, R Kollmar
1Neurologische Klinik, Universität Heidelberg, Heidelberg. fabian_meisel@med.uni-heidelberg.de
Abstract:
Acute meningitis caused by Escherichia coli is a rare disease in adulthood. Medical procedures, e.g. surgical interventions, have been described as a cause. Infection by blood transmission of fecal E. coli is also known. We report a case of acute meningitis after transrectal prostate biopsy. E. coli could be identified both in the cerebrospinal fluid and in the blood culture. A broad initial antibiotic therapy was administered. After cultural isolation of E. coli the therapy was switched to cefotaxime. The initially comatose patient recovered swiftly.
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