TITLE:
Spondylodiscitis, an Exceptional Complication of Prostate Biopsy: Case Report
AUTHORS:
Abd el Kader Moumouni, Tchilabalo Matchonna Kpatcha, Massaga Dagbe, Katanga Anthony Beketi, Mawouto Akpalou, Gnimdou Botcho, Komi Hola Sikpa, Detema Wenkouda Maba, Fabie Opeku, Komi Awume, Bidamin Ntimon, Tchin Darre
KEYWORDS:
Spondylodiscitis, Prostate Biopsy, Complication
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.11 No.2,
April
27,
2021
ABSTRACT: 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.