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RESIDENT’S CORNER

An epidural abscess following transrectal ultrasound-guided biopsies of the prostate

Vincent Fradet, Michael McCormack, Paul Perrotte, Pierre Karakiewicz, Fred Saad

Centre Hospitalier de l’Université de Montréal (CHUM-Notre-Dame Hospital) Montréal, Québec, Canada
Address correspondence to Dr. Michael McCormack, Department of Urology, Notre Dame Hospital, 1560 Sherbrooke Street East, Montreal, Quebec H2L 4M1 Canada

Canadian Journal of Urology 2005, 12(6), 2899-2900.

Abstract

We report the occurrence of an epidural abscess following TRUS-guided prostate biopsies, which highlights the fact that severe complications may occur with this technique in spite of antibiotic prophylaxis. Ciprofloxacin-resistant Escherichia coli is a frequent cause of fever following TRUS-guided prostate biopsies as was the case in our patient. Early suspicion of the presence of ciprofloxacin-resistant Escherichia coli may help avoid serious complications in these patients.

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