Open AccessPost-Prostate Biopsy Infection with Escherichia coli ST131 Leading to Epididymo-Orchitis and Meningitis Caused by Gram-Negative Bacilli
Author(s) -
Aris Assimacopoulos,
Brian Johnston,
Connie Clabots,
James R. Johnson
Publication year - 2012
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.02026-12
Subject(s) - orchitis , medicine , meningitis , bacilli , epididymitis , escherichia coli , prostate , prostate biopsy , biopsy , microbiology and biotechnology , pathology , surgery , bacteria , biology , cancer , gene , biochemistry , genetics
A 57-year-old man who had recently undergone a transrectal prostate biopsy for a rising prostate-specific antigen level developed postbiopsy necrotizing epididymo-orchitis (requiring orchiectomy) and then Gram-negative meningitis, despite fluoroquinolone administration for periprocedural prophylaxis and subsequent therapy. The causative organism proved to be a fluoroquinolone-resistantEscherichia coli strain from sequence type ST131.
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