[Acute meningitis after transrectal prostate biopsy]

Urologe A. 2003 Dec;42(12):1611-5. doi: 10.1007/s00120-003-0468-3.
[Article in German]


Acute meningitis caused by Escherichia coli is a rare disease in adulthood. Medical procedures, e.g. surgical interventions, have been described as a cause. Infection by blood transmission of fecal E. coli is also known. We report a case of acute meningitis after transrectal prostate biopsy. E. coli could be identified both in the cerebrospinal fluid and in the blood culture. A broad initial antibiotic therapy was administered. After cultural isolation of E. coli the therapy was switched to cefotaxime. The initially comatose patient recovered swiftly.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Biopsy, Needle / adverse effects*
  • Cefotaxime / therapeutic use
  • Escherichia coli / isolation & purification
  • Humans
  • Male
  • Meningitis, Escherichia coli / blood
  • Meningitis, Escherichia coli / cerebrospinal fluid
  • Meningitis, Escherichia coli / drug therapy*
  • Meningitis, Escherichia coli / etiology*
  • Middle Aged
  • Prostate / pathology*
  • Rectum / microbiology*
  • Rectum / pathology


  • Cefotaxime