经直肠前列腺活检导致的危及生命的脑膜炎。
Life-threatening meningitis resulting from transrectal prostate biopsy.
作者信息
Shen Zhou-Jun, Chen Shan-Wen, Wang Hua, Zhou Xie-Lai, Zhao Ju-Ping
机构信息
Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China.
出版信息
Asian J Androl. 2005 Dec;7(4):453-5. doi: 10.1111/j.1745-7262.2005.00071.x.
After antibiotic prophylaxis with metronidazole and levofloxacin, a transrectal sextant biopsy was performed under the guide of transrectal ultrasonography (TRUS) for a 75-year-old suspicious patient with prostate adenocarcinoma. Although antibiotics were also given after this procedure, the patient still developed fever, anxious, agrypnia and headache. Blood cultures remained negative. Lumbar puncture was performed and was consistent with Escherichia coli bacterial meningitis.
对一名75岁疑似前列腺腺癌患者，在使用甲硝唑和左氧氟沙星进行抗生素预防后，于经直肠超声（TRUS）引导下进行了经直肠六分区活检。尽管在此操作后也给予了抗生素治疗，但患者仍出现发热、焦虑、失眠和头痛症状。血培养结果为阴性。进行了腰椎穿刺，结果符合大肠杆菌性脑膜炎。
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