title: [Acute meningitis after transrectal prostate biopsy].
abstract: Acute meningitis caused by Escherichia coli is a rare disease in adulthood. Medical procedures, e.g. surgical interventions, have been described as a cause. Infection by blood transmission of fecal E. coli is also known. We report a case of acute meningitis after transrectal prostate biopsy. E. coli could be identified both in the cerebrospinal fluid and in the blood culture. A broad initial antibiotic therapy was administered. After cultural isolation of E. coli the therapy was switched to cefotaxime. The initially comatose patient recovered swiftly.
authors.affiliation: Neurologische Klinik, Universität Heidelberg, Heidelberg. fabian_meisel@med.uni-heidelberg.de
authors.forename: F
authors.initials: F
authors.lastname: Meisel
authors.forename: C
authors.initials: C
authors.lastname: Jacobi
authors.forename: R
authors.initials: R
authors.lastname: Kollmar
authors.forename: A
authors.initials: A
authors.lastname: Hug
authors.forename: M
authors.initials: M
authors.lastname: Schwaninger
authors.forename: S
authors.initials: S
authors.lastname: Schwab
mesh_terms: D000208:Acute Disease; D001707:Biopsy, Needle / Q000009:adverse effects*; D002439:Cefotaxime / Q000627:therapeutic use; D004926:Escherichia coli / Q000302:isolation & purification; D006801:Humans; D008297:Male; D020814:Meningitis, Escherichia coli / Q000097:blood / Q000134:cerebrospinal fluid / Q000188:drug therapy* / Q000209:etiology*; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D012007:Rectum / Q000382:microbiology* / Q000473:pathology
chemical_list: D002439:Cefotaxime