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Volume 7, Issue 4 (July 2005) 7, 453–455; 10.1111/j.1745-7262.2005.00071.x
Life-threatening meningitis resulting from transrectal prostate biopsy
Zhou-Jun Shen, Shan-Wen Chen, Hua Wang, Xie-Lai Zhou and Ju-Ping Zhao
1.Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
2.Department of Urology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China
Correspondence: Dr Onder Yaman, Sehit Ersan Cad., Pembe Kösk Sitesi, B-1 Blok, No 15, 06680, Çankaya, Ankara, Turkey. Tel: +90-312-427-69-71 Fax: +90-312-311-21-67 E-mail: yaman@medicine.ankara.edu.tr
Received: 2004-12-07 Accepted: 2005-04-12
| Abstract |
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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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