Spondylodiscitis as Complication of Transrectal Ultrasonography-guided Prostate Biopsy: a Case Report

Ferrara, Liberato Aldo and Valentina Di Fronzo, Valentina and Russo, Barbara F. and Gargiulo, Francesco and Carlino, Maria Viviana (2014) Spondylodiscitis as Complication of Transrectal Ultrasonography-guided Prostate Biopsy: a Case Report. European Journal of Case Reports in Internal Medicine, 1 (1). pp. 1-6. ISSN 2284-2594

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A 61-year-old man presented with high fever, and severe back and abdominal pain following transrectal ultrasonography (TRUS)-guided prostate biopsy. Diagnosis of spondylodiscitis and psoas abscesses was made based on MRI images of the lumbar tract of the spine. Six-month broad-spectrum antibiotic treatment and immobilization with a girdle overcame the disease without any relapse at the 1-year follow-up. Spondylodiscitis after TRUS-guided prostate biopsy is a rare event, which is not yet included as a major complication of the procedure. It is probably due to the presence of fluoroquinolone-resistant bacteria in faeces. It is, therefore, important to highlight this possibility and to stress the use of targeted antibiotic prophylaxis after rectal flora swabbing with selected antibiotics at sufficient concentrations to be effective.

Item Type: Article
Uncontrolled Keywords: Spondylodiscitis; TRUS-guided prostate biopsy; Antibiotic treatment
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.6 Malattie del sistema urogenitale, malattie del sistema urinario
Depositing User: Chiara D'Arpa
Date Deposited: 07 Sep 2016 15:50
Last Modified: 07 Sep 2016 15:51
URI: http://eprints.bice.rm.cnr.it/id/eprint/14983

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