Escherichia coli extensive cellulitis after laparoscopic radical prostatectomy.
A 59-year-old patient underwent laparoscopic radical prostatectomy (LRP) in our department. After surgery, he had an extensive cellulitis of the right flank develop. Urine, drainage effluent, and blood cultures were all positive for Escherichia coli. Prolonged broad spectrum antibiotherapy allowed progressive resolution of the cellulitis. This case shows that severe cellulitis can occur after LRP. Urinary tract infection and vesicourethral anastomotic leakage may contribute to this complication.
El Karoui
Khalil
K
Center of Infectiology Necker-Pasteur, Hôpital Necker Enfants-Malades, Paris, France.
Lanternier
Fanny
F
Taieb
Fabien
F
Poirée
Sylvain
S
Zahar
Jean-Ralph
JR
Mechaï
Frederic
F
Lortholary
Olivier
O
Peyromaure
Michaël
M
D002481:Cellulitis / Q000209:etiology* / Q000382:microbiology; D004927:Escherichia coli Infections / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*