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Sepsis after transrectal prostate biopsy that was effective of endotoxin adsorption therapy Junichi Hori 1 , Satoshi Yamaguchi 1 , Masaki Watanabe 1 , Hiroaki Osanai 1 1Department of Urology, Hokkaido Social Walfare Association Furano Hospital, Hokkaido, Japan Keyword: 敗血症 , 前立腺生検 , 血液浄化 pp.323-325
Published Date 2008/4/20
DOI https://doi.org/10.11477/mf.1413101489
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A 59-year-old male patient with high serum PSA was admitted to our hospital and transrectal prostate biopsy was conducted. A spiking fever developed in the next day and laboratory data revealed the elevation of white blood cells and C-reactive protein. Blood culture and urine culture detected extended spectrum β lactamase(ESBL)producing E. Coli and serum endotoxin level was positive. We performed extracorporeal endotoxin adsorption therapy under the diagnosis of sepsis from acute prostatitis. He recovered soon after this therapy.

In this case ESBL producing E. coli, so call multi-drug resistant bacteria was detected. Severe infection by ESBL producing bacteria is thought to be rare, but occasionally systemic inflammatory response syndrome can occur and progress to septic shock. In this case carbapenem antibiotics and extracorporeal endotoxin adsorption therapy was very useful.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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