| Literature DB >> 16972630 |
Akio Hoshi1, Masahiro Nitta, Sachiko Hongoh, Kazuya Hanai, Zenkai Nishikawa, Yasuyuki Kobayashi, Masanori Shima, Tadashi Hanai, Nobuhiko Hyochi, Yukio Usui, Hideshi Miyakita, Toshiro Terachi.
Abstract
We report two cases of sepsis and disseminated intravascular coagulation (DIC), potentially fatal complications, following transrectal prostate biopsy. We also review similar cases reported in Japan. Case 1: A 63-year-old man received a cathartic and levofloxacin (LVFX) for prophylaxis. After transrectal prostate biopsy, he presented with fever and chills. Blood cultures grew Escherichia coli resistant to LVFX. Under a diagnosis of sepsis, he received intensive management that included endotoxin removal therapy. The patient was hospitalized for 27 days. Case 2: A 64-year-old man received a cathartic and cefazolin (CEZ) for prophylaxis. He presented with fever and chills after biopsy, and was admitted to hospital. Blood cultures grew E. coli resistant to CEZ. Under a diagnosis of sepsis, he received intravenous antibiotics, transfusion, and anti-DIC drugs. The patient was hospitalized for 11 days.Entities:
Mesh：
Year: 2006 PMID： 16972630
Source DB: PubMed Journal: Hinyokika Kiyo ISSN： 0018-1994