Sunwest Infusion and Infectious Disease Specialists, Goodyear, Arizona, USA.
J Clin Microbiol. 2012 Dec;50(12):4157-9. doi: 10.1128/JCM.02026-12. Epub 2012 Sep 26.
A 57-year-old man who had recently undergone a transrectal prostate biopsy for a rising prostate-specific antigen level developed postbiopsy necrotizing epididymo-orchitis (requiring orchiectomy) and then Gram-negative meningitis, despite fluoroquinolone administration for periprocedural prophylaxis and subsequent therapy. The causative organism proved to be a fluoroquinolone-resistant Escherichia coli strain from sequence type ST131.
一位 57 岁男性,因前列腺特异性抗原水平升高行经直肠前列腺活检后,发生了活检后坏死性附睾睾丸炎(需要行睾丸切除术),随后出现革兰阴性脑膜炎,尽管在围手术期给予了氟喹诺酮类药物预防用药和后续治疗。病原体证实为来自序列型 ST131 的氟喹诺酮耐药大肠埃希菌。