[Meningitis caused by multiresistant E. coli after an echo-directed transrectal biopsy].
Transrectal prostate biopsy is the most accurate method for prostate cancer diagnosis. Although an antimicrobial prophylaxis is employed in most cases, infectious complications are among the most severe. We present a case of E. coli multirresistant meningitis after transrectal prostate biopsy despite quinolone prophylaxis.
Rodríguez-Patrón Rodríguez
R
R
Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Navas Elorza
E
E
Quereda Rodríguez-Navarro
C
C
Mayayo Dehesa
T
T
D000368:Aged; D000658:Amoxicillin / Q000494:pharmacology / Q000627:therapeutic use; D001706:Biopsy / Q000009:adverse effects*; D001925:Brain Damage, Chronic / Q000209:etiology; D000077723:Cefepime; D002511:Cephalosporins / Q000494:pharmacology / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D019818:Clavulanic Acid / Q000494:pharmacology / Q000627:therapeutic use; D003221:Confusion / Q000209:etiology; D024901:Drug Resistance, Multiple, Bacterial; D004359:Drug Therapy, Combination / Q000494:pharmacology / Q000627:therapeutic use; D004926:Escherichia coli / Q000187:drug effects* / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D005839:Gentamicins / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D011292:Premedication; D011467:Prostate / Q000000981:diagnostic imaging / Q000473:pathology*; D012007:Rectum / Q000000981:diagnostic imaging / Q000382:microbiology*; D014463:Ultrasonography; D014640:Vancomycin / Q000494:pharmacology / Q000627:therapeutic use
D002511:Cephalosporins; D005839:Gentamicins; D019818:Clavulanic Acid; D002939:Ciprofloxacin; D014640:Vancomycin; D000658:Amoxicillin; D000077723:Cefepime