DOI: 10.12890/2014_000019

Spondylodiscitis as Complication of Transrectal Ultrasonography-guided Prostate Biopsy: A Case Report

Authors

  • Liberato Aldo Ferrara Dept. of Clinical Medicine and Surgery, Federico 2nd University of Naples, Naples, Italy
  • Valentina Di Fronzo Dept. of Clinical Medicine and Surgery, Federico 2nd University of Naples, Naples, Italy
  • Barbara F Russo Dept. of Clinical Medicine and Surgery, Federico 2nd University of Naples, Naples, Italy
  • Francesco Gargiulo Dept. of Clinical Medicine and Surgery, Federico 2nd University of Naples, Naples, Italy
  • Maria Viviana Carlino Dept. of Clinical Medicine and Surgery, Federico 2nd University of Naples, Naples, Italy

ferrara@unina.it

Abstract

A 61-year-old man presented with high fever, and severe back and abdominal pain following transrectal ultrasonography (TRUS)-guided prostate biopsy. Diagnosis of spondylodiscitis and psoas abscesses was made based on MRI images of the lumbar tract of the spine. Six-monthbroad-spectrum antibiotic treatment and immobilization with a girdle overcame the disease without any relapse at the 1-year follow-up.
Spondylodiscitis after TRUS-guided prostate biopsy is a rare event, which is not yet included as a major complication of the procedure. It is probably due to thepresence of fluoroquinolone-resistant bacteria in faeces. It is, therefore, important to highlight this possibility and to stressthe use of targeted antibiotic prophylaxis after rectal flora swabbing with selected antibiotics at sufficient concentrations to be effective.

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References

  1. Titlic M, Josipovic-Jelic Z. Spondylodiscitis, Bratisl Lek Listy 2008;109:345–7.
  2. Karapolat H, Akkoc Y, Arda B, Sesli E. Spondylodiscitis caused by sudden onset back pain following transrectal ultrasonography-guided prostate biopsy: a case report, Agri 2009;21:121–125.
  3. Lucio E, Adesokan A, Hadjipavlou AG, Crow WN, Adegboyega PA. Pyogenic spondylo-diskitis: a radiologic/pathologic and culture correlation study, Arch Pathol Lab Med 2000;124:712–716.
  4. Minamida S, Satoh T, Tabata K, Kimura M, Tsumura H, Kurosaka S, Matsumoto K, Fujita T, Iwamura M, Baba S. Prevalence of fluoroquinolone-resistant Escherichia coli before and incidence of acute bacterial prostatitis after prostate biopsy, Urology 2011;78:1235–1239.
  5. Wagenlehner FM, Pilatz A, Waliszewski P, Weidner W, Johansen TE. Reducing infection rates after prostate biopsy, Nat Rev Urol 2014;11:80–86.

Published

2014-03-11

Issue

Vol. 1 No. 1 (2014)

How to Cite

1.
Ferrara LA, Di Fronzo V, Russo BF, Gargiulo F, Carlino MV. Spondylodiscitis as Complication of Transrectal Ultrasonography-guided Prostate Biopsy: A Case Report. EJCRIM [Internet]. 2014 Mar. 11 [cited 2026 Nov. 4];1(1). Available from: https://ejcrim.com/index.php/ejcrim/article/view/19