Case Report

Asian Journal of Andrology (2005) 7, 453–455; doi:10.1111/j.1745-7262.2005.00071.x

Life-threatening meningitis resulting from transrectal prostate biopsy

Zhou-Jun Shen1,2, Shan-Wen Chen2, Hua Wang2, Xie-Lai Zhou2 and Ju-Ping Zhao1

  1. 1Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
  2. 2Department of Urology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Correspondence: Dr Zhou-Jun Shen, Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China. Fax: +86-21-64333548. E-mail: shenzhj@mail.hz.zj.cn

Received 7 January 2004; Accepted 12 April 2005.

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Abstract

After antibiotic prophylaxis with metronidazole and levofloxacin, a transrectal sextant biopsy was performed under the guide of transrectal ultrasonography (TRUS) for a 75-year-old suspicious patient with prostate adenocarcinoma. Although antibiotics were also given after this procedure, the patient still developed fever, anxious, agrypnia and headache. Blood cultures remained negative. Lumbar puncture was performed and was consistent with Escherichia coli bacterial meningitis.

Keywords:

meningitis, prostate diagnosis

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References

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