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

Liberato Ferrara, Valentina Di Fronzo, Barbara Russo, Francesco Gargiulo, Maria Carlino
2014 European Journal of Case Reports in Internal Medicine  
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
more » ... t, 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.
doi:10.12890/2014_000019 fatcat:q2ghrowm4vgphgymgfbnmjse3i