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A case of severe sepsis following transrectal prostate biopsy

Authors: ELIKWU Charles

Publication Type: Journal article

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Abstract

Introduction Prostate biopsy presents a significant percentage of complications. Infection complicates more than 5% of patients subjected to prostate biopsy1 and is the most common reason for hospitalization following prostate biopsy2,3. The factors predicting a higher susceptibility to infection have been largely unknown but some literature have highlighted in the aetiopathogenesis the importance of augmented prevalence of ciprofloxacin resistant bacterial strains (E. coli) in the rectum flora. Case report We report a case of an elderly man, who had no urinary symptoms. A 74year old man presented in our general outpatient clinic with no urinary symptom but had elevated total serum Prostate Specific Antigen (PSA) during his annual medical check-up. The PSA was 19.01ng/ml, which prompted the attending physician to refer him to our Urology Clinic. We found him to be a healthy-looking elderly man. The findings on general examination were essentially normal. On digital rectal examination, the sphincteric tone was normal; the rectal mucosa was smooth; the prostate gland was enlarged, grade III, smooth, firm, nontender, median groove and lateral sulci were preserved. We made a clinical diagnosis of chronic prostatitis.

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ELIKWU,C. . (0000). A case of severe sepsis following transrectal prostate biopsy, 0 (), 0-0.

ELIKWU,C. . "A case of severe sepsis following transrectal prostate biopsy" 0, no (), (0000): 0-0.

ELIKWU,C. and . (0000). A case of severe sepsis following transrectal prostate biopsy, 0 (), pp0-0.

ELIKWUC, . A case of severe sepsis following transrectal prostate biopsy. 0000, 0 ():0-0.

ELIKWU,Charles , . "A case of severe sepsis following transrectal prostate biopsy", 0 . (0000) : 0-0.

E.Charles , "A case of severe sepsis following transrectal prostate biopsy" vol.0, no., pp. 0-0, 0000.

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