Abstract
Clostridium sordellii is a Gram-positive spore-forming anaerobic bacillus rarely encountered in human infection. A case of C. sordellii ischio-rectal abscess with rapidly fatal septicaemia is described which complicated ultrasound-guided transrectal biopsy of the prostate, despite ciprofloxacin prophylaxis. Neither C. sordellii ischio-rectal abscess nor ischio-rectal abscess complicating transrectal biopsy have been reported previously. Judging from our experience and the reviewed literature, the addition of prophylactic anti-anaerobe drugs should be strongly considered until an optimal prophylactic regimen will be defined by randomized controlled trials.
MeSH terms
-
Abscess / complications*
-
Abscess / drug therapy
-
Abscess / microbiology
-
Adenocarcinoma / complications*
-
Adenocarcinoma / diagnosis
-
Aged
-
Ampicillin / therapeutic use
-
Anti-Infective Agents / therapeutic use
-
Bacteremia / complications
-
Bacteremia / drug therapy
-
Biopsy / adverse effects
-
Ciprofloxacin / therapeutic use
-
Clostridium / pathogenicity*
-
Clostridium Infections / complications*
-
Clostridium Infections / therapy
-
Diuretics / therapeutic use
-
Fatal Outcome
-
Furosemide / therapeutic use
-
Humans
-
Ischium* / pathology
-
Male
-
Metronidazole / therapeutic use
-
Penicillins / therapeutic use
-
Prostate / pathology
-
Prostatic Neoplasms / complications*
-
Prostatic Neoplasms / diagnosis
-
Rectal Diseases / complications*
-
Rectal Diseases / drug therapy
-
Rectal Diseases / microbiology
-
Rectum / diagnostic imaging
-
Rectum / pathology
-
Ultrasonography
Substances
-
Anti-Infective Agents
-
Diuretics
-
Penicillins
-
Metronidazole
-
Ciprofloxacin
-
Ampicillin
-
Furosemide