Sakka S G, Hüttemann E
Klinik für Anästhesiologie und Intensivtherapie, Friedrich-Schiller-Universität, Jena.
Anaesthesist. 2003 Aug;52(8):707-10. doi: 10.1007/s00101-003-0524-9.
A 47-year-old male patient developed a seizure and was admitted to our institution by the emergency physician after tracheal intubation due to suspected primary intracerebral lesion. A primary neurological disorder could be excluded. Urosepsis with positive blood cultures for E. coli was diagnosed and the patient received appropriate antibiotic treatment. On the following day relatives mentioned an ambulatory prostate needle puncture on the day prior to admission. After stabilisation of organ function, the patient could be weaned from the ventilator and transferred to the urological ward a few days later. In conclusion, a seizure may be a possible symptom of septic encephalopathy which by definition is a diagnosis by exclusion. In general, transrectal prostate needle biopsy may be considered as a rare cause of sepsis and septic shock.
一名47岁男性患者出现癫痫发作，因疑似原发性脑内病变在气管插管后由急诊医生收治入院。可排除原发性神经系统疾病。诊断为大肠杆菌血培养阳性的尿脓毒症，患者接受了适当的抗生素治疗。次日，亲属提及患者在入院前一天进行了门诊前列腺穿刺活检。在器官功能稳定后，患者脱机，并于数日后转至泌尿外科病房。总之，癫痫可能是脓毒症脑病的一种可能症状，根据定义，脓毒症脑病是一种排除性诊断。一般来说，经直肠前列腺穿刺活检可被视为脓毒症和脓毒性休克的罕见病因。
