Is prostatic biopsy as safe as we think? Epidural abscess following prostatic biopsy
A. L. Aguilar-Shea, A. M. Molino-González, C. Gallardo-Mayo,
J. M. Pedradas-Navas
Canadian Journal of Urology, Vol.15, No.4, pp. 4188-4190, 2008
Abstract Spinal epidural abscess is an infectious disorder with high
morbidity and mortality rates, which is often associated
with delayed diagnosis. We report a case of a 73-year-old
man with cervical pyogenic spondylodiscitis complicated
with epidural abscess following a prostatic biopsy. Clinical
presentation included fever, malaise, neck rigidity in all
axes, minor paresis of the right arm, and gait ataxia. A
cervical vertebral magnetic resonance imaging (MRI)
scan showed pyogenic spondylodiscitis with an epidural
abscess. Blood, urine, and cerebrospinal fl uid cultures
were sterile. The patient was treated with intravenous
vancomycin, metronidazole, and ceftazidime for 4 More >