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