Open Access

CASE REPORT

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

Servicio de Medicina Interna, Hospital Clínico San Carlos, Universidad Complutense de Madrid, Spain
Address correspondence to Dr. A. L. Aguilar-Shea, C/Clara del Rey Nº 58 1D 28002 Madrid Spain

Canadian Journal of Urology 2008, 15(4), 4188-4190.

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 weeks, and was discharged from the hospital and treated with oral cloxacillin, metronidazole, and cefi xime for another 2 weeks. His neurological symptoms disappeared completely, and he walked normally, without support. It is important for clinicians to be alert to symptoms accompanying back pain following a prostatic biopsy and to consider the possibility of a diagnosis of spinal abscess.

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