[Seizure as a possible symptom of septic encephalopathy following transrectal prostate needle biopsy].
A 47-year-old male patient developed a seizure and was admitted to our institution by the emergency physician after tracheal intubation due to suspected primary intracerebral lesion. A primary neurological disorder could be excluded. Urosepsis with positive blood cultures for E. coli was diagnosed and the patient received appropriate antibiotic treatment. On the following day relatives mentioned an ambulatory prostate needle puncture on the day prior to admission. After stabilisation of organ function, the patient could be weaned from the ventilator and transferred to the urological ward a few days later. In conclusion, a seizure may be a possible symptom of septic encephalopathy which by definition is a diagnosis by exclusion. In general, transrectal prostate needle biopsy may be considered as a rare cause of sepsis and septic shock.
Sakka
S G
SG
Klinik für Anästhesiologie und Intensivtherapie, Friedrich-Schiller-Universität, Jena. Samir.Sakka@med.uni-jena.de
Hüttemann
E
E
D001707:Biopsy, Needle / Q000009:adverse effects*; D002494:Central Nervous System Infections / Q000150:complications* / Q000209:etiology; D004927:Escherichia coli Infections / Q000150:complications / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D012640:Seizures / Q000209:etiology*; D018805:Sepsis / Q000150:complications* / Q000209:etiology
Generalisierter Krampfanfall als mögliches Zeichen einer septischen Enzephalopathie nach transrektaler Prostatabiopsie.