Author(s)

Abd el Kader Moumouni^1*, Tchilabalo Matchonna Kpatcha², Massaga Dagbe³, Katanga Anthony Beketi^1,4, Mawouto Akpalou⁵, Gnimdou Botcho², Komi Hola Sikpa², Detema Wenkouda Maba⁶, Fabie Opeku¹, Komi Awume¹, Bidamin Ntimon³, Tchin Darre⁷

¹Neurosurgery Department, University Teaching Hospital of Kara, Kara, Togo.
²Urology Department, University Teaching Hospital of Kara, Kara, Togo.
³Radiology Department, University Teaching Hospital of Kara, Kara, Togo.
⁴Neurosurgery Department, Sylvanus Olympio Teaching Hospital, Lomé, Togo.
⁵Surgery Department, CHR Atakpamé, Atakpamé, Togo.
⁶Bacteriology Laboratory, University Teaching Hospital of Kara, Kara, Togo.
⁷Pathologyanatomy Laboratory, Sylvanus Olympio Teaching Hospital, Lomé, Togo.

Background: Transrectal prostate biopsy is a major prostate cancer diagnosis procedure that can cause infectious complications. Osteoarticular localization is uncommon. Aim: To report a case of spondylodiscitis due to a transrectal prostate biopsy and highlight therapeutical principles. Case Presentation: 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°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. Conclusion: Spondylodiscitis is an exceptional complication of transrectal prostate biopsy. It may be evocated in case of bones pain after prostate biopsy.

Spondylodiscitis, Prostate Biopsy, Complication

Moumouni, A. , Kpatcha, T. , Dagbe, M. , Beketi, K. , Akpalou, M. , Botcho, G. , Sikpa, K. , Maba, D. , Opeku, F. , Awume, K. , Ntimon, B. and Darre, T. (2021) Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report. Open Journal of Modern Neurosurgery, 11, 97-101. doi: 10.4236/ojmn.2021.112011.