A near-fatal case of sepsis with an antibiotic-resistant organism complicating a routine transrectal prostate biopsy in a health care worker

Authors

  • Bryce Weber Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont.
  • John Saliken Department of Diagnostic Imaging, Radiology, Foothills Hospital, University of Calgary, Calgary, Alta.
  • Taj Jadavji Department of Infectious Diseases, Foothills Hospital, University of Calgary, Calgary, Alta.
  • Robin R. Gray Departments of Diagnostic Imaging, Radiology, Foothills Hospital, University of Calgary, Calgary, Alta.
  • Ronald Moore Department of Urology, University of Alberta, Edmonton, Alta.

DOI:

https://doi.org/10.5489/cuaj.926

Abstract

A 58-year-old physician with an elevated prostate specific antigen developed severe septic shock following a repeat transrectal prostate biopsy despite standard preoperative prophylactic protocol. This case highlights the significance of harbouring antibiotic-resistant bacteria and the risk of previous quinolone exposure. We believe this case may herald a rare but potentially serious consequence of increasingly common antibiotic resistance and that high-risk patients should be studied to determine their likelihood of carrying antibiotic-resistant flora in their genitourinary/gastrointestinal tract.

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How to Cite

Weber, B., Saliken, J., Jadavji, T., Gray, R. R., & Moore, R. (2013). A near-fatal case of sepsis with an antibiotic-resistant organism complicating a routine transrectal prostate biopsy in a health care worker. Canadian Urological Association Journal, 2(5), 543–5. https://doi.org/10.5489/cuaj.926

Issue

Vol. 2 No. 5 (2008): CUAJ October

Section

Case Report

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