Sepsis following transrectal prostate biopsy: A report of 2 cases and reviewed similar cases in Japan

Akio Hoshi, Masahiro Nitta, Sachiko Hongoh, Kazuya Hanai, Zenkai Nishikawa, Yasuyuki Kobayashi, Masanori Shima, Tadashi Hanai, Nobuhiko Hyochi, Yukio Usui, Hideshi Miyakita, Toshiro Terachi

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

We report two cases of sepsis and disseminated intravascular coagulation (DIG), potentially fatal complications, following transrectal prostate biopsy. We also review similar cases reported in Japan. Case 1: A 63-year-old man received a cathartic and levofloxacin (LVFX) for prophylaxis. After transrectal prostate biopsy, he presented with fever and chills. Blood cultures grew Escherichia coli resistant to LVFX. Under a diagnosis of sepsis, he received intensive management that included endotoxin removal therapy. The patient was hospitalized for 27 days. Case 2: A 64-year-old man received a cathartic and cefazolin (CEZ) for prophylaxis. He presented with fever and chills after biopsy, and was admitted to hospital. Blood cultures grew E. coli resistant to CEZ. Under a diagnosis of sepsis, he received intravenous antibiotics, transfusion, and anti-DIC drugs. The patient was hospitalized for 11 days.

Original languageEnglish
Pages (from-to)645-649
Number of pages5
JournalActa Urologica Japonica
Volume52
Issue number8
Publication statusPublished - Aug 1 2006
Externally publishedYes

Keywords

  • Prostate
  • Sepsis
  • Transrectal biopsy

ASJC Scopus subject areas

  • Urology

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    Hoshi, A., Nitta, M., Hongoh, S., Hanai, K., Nishikawa, Z., Kobayashi, Y., Shima, M., Hanai, T., Hyochi, N., Usui, Y., Miyakita, H., & Terachi, T. (2006). Sepsis following transrectal prostate biopsy: A report of 2 cases and reviewed similar cases in Japan. Acta Urologica Japonica, 52(8), 645-649.