Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report  

作　　者：Abd el Kader Moumouni Tchilabalo Matchonna Kpatcha Massaga Dagbe Katanga Anthony Beketi Mawouto Akpalou Gnimdou Botcho Komi Hola Sikpa Detema Wenkouda Maba Fabie Opeku Komi Awume Bidamin Ntimon Tchin Darre Abd el Kader Moumouni;Tchilabalo Matchonna Kpatcha;Massaga Dagbe;Katanga Anthony Beketi;Mawouto Akpalou;Gnimdou Botcho;Komi Hola Sikpa;Detema Wenkouda Maba;Fabie Opeku;Komi Awume;Bidamin Ntimon;Tchin Darre(Neurosurgery Department, University Teaching Hospital of Kara, Kara, Togo;Urology Department, University Teaching Hospital of Kara, Kara, Togo;Radiology Department, University Teaching Hospital of Kara, Kara, Togo;Neurosurgery Department, Sylvanus Olympio Teaching Hospital, Lomé, Togo;Surgery Department, CHR Atakpamé, Atakpamé, Togo;Bacteriology Laboratory, University Teaching Hospital of Kara, Kara, Togo;Pathologyanatomy Laboratory, Sylvanus Olympio Teaching Hospital, Lomé, Togo)

机构地区：[1]Neurosurgery Department, University Teaching Hospital of Kara, Kara, Togo [2]Urology Department, University Teaching Hospital of Kara, Kara, Togo [3]Radiology Department, University Teaching Hospital of Kara, Kara, Togo [4]Neurosurgery Department, Sylvanus Olympio Teaching Hospital, Lomé, Togo [5]Surgery Department, CHR Atakpamé, Atakpamé, Togo [6]Bacteriology Laboratory, University Teaching Hospital of Kara, Kara, Togo [7]Pathologyanatomy Laboratory, Sylvanus Olympio Teaching Hospital, Lomé, Togo

出　　处：《Open Journal of Modern Neurosurgery》2021年第2期97-101,共5页现代神经外科学进展（英文）

摘　　要：<strong>Background:</strong> Transrectal prostate biopsy is a major prostate cancer diagnosis procedure that can cause infectious complications. Osteoarticular localization is uncommon. <strong>Aim:</strong> To report a case of spondylodiscitis due to a transrectal prostate biopsy and highlight therapeutical principles. <strong>Case Presentation: </strong>A 60-year-old male underwent transrectal prostate biopsy performed because of high PSA level, and presented 48 hours later with back pain, fever at 40<span style="white-space:nowrap;">&#176;</span>C associated with an obnubilation. He was treated for malaria without favorable evolution. Persistance of pain and occurrence of neurologic manifestations motivated dorso-lumbar Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) which permitted diagnosis of spondylodiscitis. The treatment was made by triple antibiotic therapy combining Imipenem 500 mg/8h (IV);Ofloxacin 200 mg/12h (IV) and Metronidazole 500 mg/8h (IV) over four weeks. Evolution under treatment was favorable. <strong>Conclusion:</strong> Spondylodiscitis is an exceptional complication of transrectal prostate biopsy. It may be evocated in case of bones pain after prostate biopsy.<strong>Background:</strong> Transrectal prostate biopsy is a major prostate cancer diagnosis procedure that can cause infectious complications. Osteoarticular localization is uncommon. <strong>Aim:</strong> To report a case of spondylodiscitis due to a transrectal prostate biopsy and highlight therapeutical principles. <strong>Case Presentation: </strong>A 60-year-old male underwent transrectal prostate biopsy performed because of high PSA level, and presented 48 hours later with back pain, fever at 40<span style="white-space:nowrap;">&#176;</span>C associated with an obnubilation. He was treated for malaria without favorable evolution. Persistance of pain and occurrence of neurologic manifestations motivated dorso-lumbar Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) which permitted diagnosis of spondylodiscitis. The treatment was made by triple antibiotic therapy combining Imipenem 500 mg/8h (IV);Ofloxacin 200 mg/12h (IV) and Metronidazole 500 mg/8h (IV) over four weeks. Evolution under treatment was favorable. <strong>Conclusion:</strong> Spondylodiscitis is an exceptional complication of transrectal prostate biopsy. It may be evocated in case of bones pain after prostate biopsy.

关 键 词：SPONDYLODISCITIS Prostate Biopsy COMPLICATION 

分 类 号：R69[医药卫生—泌尿科学]