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Can Urol Assoc J. 2008 Oct;2(5):543-5. doi: 10.5489/cuaj.926.

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 = Journal de l'Association des urologues du Canada

Bryce Weber, John Saliken, Taj Jadavji, Robin R Gray, Ron Moore

Affiliations

  1. Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont., the.

PMID: 18953456 PMCID: PMC2572246 DOI: 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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