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Related Experiment Videos

E. coli multiresistant meningitis after transrectal prostate biopsy.

Diana Alecsandru1, Israel Gestoso, Ana Romero

  • 1Department of Clinical Immunology, Hospital Clínico San Carlos, Madrid, Spain. dianalecsandru2@yahoo.es

Thescientificworldjournal
|July 11, 2007
PubMed
Summary
This summary is machine-generated.

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A 69-year-old man developed Escherichia coli meningitis after a prostate biopsy, despite antibiotic prophylaxis. This rare adult case highlights the risks of E. coli infections post-procedure and the limitations of ciprofloxacin prevention.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Urology

Background:

  • Escherichia coli (E. coli) meningitis is common in infants but rare in adults.
  • E. coli is a leading cause of hospital-acquired bacteremia following medical procedures.

Observation:

  • A 69-year-old male presented with meningitis symptoms 24 hours post-transrectal prostate biopsy.
  • Initial symptoms included fever and breathing difficulties, followed by neurological decline despite ciprofloxacin and empirical antibiotic treatment.
  • Cerebrospinal fluid analysis confirmed E. coli meningitis.

Findings:

  • The patient developed acute meningitis caused by multidrug-resistant E. coli.
  • The case demonstrates that antibiotic prophylaxis with ciprofloxacin is not entirely risk-free.

Related Experiment Videos

  • Transrectal prostate biopsy carries a 1% risk of major complications, including infection.
  • Implications:

    • Physicians must consider the risk of multidrug-resistant organisms even with antibiotic prophylaxis.
    • The potential for serious complications like meningitis should be weighed against the benefits of prostate biopsy.
    • Enhanced vigilance and potentially alternative prophylactic strategies are needed for transrectal prostate biopsies.