Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report
Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report作者机构：Neurosurgery Department University Teaching Hospital of Kara Kara Togo Urology Department University Teaching Hospital of Kara Kara Togo Radiology Department University Teaching Hospital of Kara Kara Togo Neurosurgery Department Sylvanus Olympio Teaching Hospital Lomé Togo Surgery Department CHR Atakpamé Atakpamé Togo Bacteriology Laboratory University Teaching Hospital of Kara Kara Togo Pathologyanatomy Laboratory Sylvanus Olympio Teaching Hospital Lomé Togo
出 版 物：《Open Journal of Modern Neurosurgery》 (现代神经外科学进展（英文）)
年 卷 期：2021年第11卷第2期
页 面：97-101页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Spondylodiscitis Prostate Biopsy Complication
摘 要：Background: Transrectal prostate biopsy is a major prostate cancer diagnosis procedure that can cause infectious complications. Osteoarticular localization is uncommon. Aim: To report a case of spondylodiscitis due to a transrectal prostate biopsy and highlight therapeutical principles. Case Presentation: A 60-year-old male underwent transrectal prostate biopsy performed because of high PSA level, and presented 48 hours later with back pain, fever at 40°C associated with an obnubilation. He was treated for malaria without favorable evolution. Persistance of pain and occurrence of neurologic manifestations motivated dorso-lumbar Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) which permitted diagnosis of spondylodiscitis. The treatment was made by triple antibiotic therapy combining Imipenem 500 mg/8h (IV);Ofloxacin 200 mg/12h (IV) and Metronidazole 500 mg/8h (IV) over four weeks. Evolution under treatment was favorable. Conclusion: Spondylodiscitis is an exceptional complication of transrectal prostate biopsy. It may be evocated in case of bones pain after prostate biopsy.
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