Pneumonia and sepsis due to carbapenem-resistant Klebsiella Pneumoniae after transrectal prostate biopsy

Emine Kübra Dindar Demiray1, Mehmet Durğun2, Özgür Paşa3, Erdinç Eren4

1Department of Infectious Disease, Bitlis State Hospital, Bitlis, Turkey
2Department of Chest Diseases and Tuberculosis, Bitlis State Hospital, Bitlis, Turkey
3Department of Microbiology, Bitlis State Hospital, Bitlis, Turkey
4Department of Internal Medicine, Bitlis State Hospital, Bitlis, Turkey

Keywords: Carbapenem-resistant Klebsiella pneumoniae, sepsis, transrectal ultrasound-guided prostate biopsy.

Abstract

Transrectal ultrasound-guided prostate biopsy (TRUSPB) with local anesthesia and prophylactic antibiotics is the most commonly used diagnostic method for prostate cancer today. Even though TRUSPB has a low complication rate, infective complications may arise on occasion. Despite the fact that prophylaxis is controversial to prevent infective complications after TRUSPB, quinolones (ciprofloxacin, ofloxacin, levofloxacin) and trimethoprim-sulfamethoxazole are the most frequently preferred antibiotics in prophylaxis. However, as with many antibiotics today, there is an increase in resistance to trimethoprim-sulfamethoxazole and quinolones. This report describes a case of sepsis due to carbapenem-resistant Klebsiella pneumoniae and pneumonia following transrectal prostate biopsy.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.