A 46-year-old man refer to us because of hemospermia. The prostatic gland was normal in size and consistency at rectal examination. Serum prostate specific antigen was 7.04 ng/ml. Magnetic resonance imaging showed an area of low signal intensity on T2-weighted images in the left peripheral gland, possibly indicative of carcinoma. Transrectal prostate biopsy was performed after intravenous administration of piperacillin. He developed chills and fever (39 degrees C) the next morning following biopsy. He was taken unconscious into the hospital where a diagnosis of septic shock caused by Escherichia coli was made. Five days later, he died. His general condition deteriorated notwithstanding intensive treatment. Postmortem blood cultures were positive for a piperacillin resistant Escherichia coli. Histological examination of the biopsies showed a benign prostatic hyperplasia. Autopsy showed diffuse tissue damage in the heart, lung, liver and kidneys. The prostate had numerous microabscesses. Currently, transrectal prostate biopsy is considered a generally reliable procedure to detect adenocarcinoma of the prostate. Our case seems to the sixth case report of fatal complications.
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机译：一名46岁的男子因血精症而向我们求助。直肠检查时前列腺的大小和一致性是正常的。血清前列腺特异性抗原为7.04 ng / ml。磁共振成像在左外周腺的T2加权图像上显示出信号强度低的区域，可能表明有癌变。静脉内注射哌拉西林后进行直肠前列腺活检。活检后第二天早晨，他发冷和发烧（39摄氏度）。他被昏迷到医院，那里被诊断出由大肠杆菌引起的败血症性休克。五天后，他死了。尽管接受了强化治疗，他的总体状况仍在恶化。死后血液培养对耐哌拉西林的大肠杆菌呈阳性。活检组织学检查显示为良性前列腺增生。尸检显示心脏，肺，肝和肾脏的弥漫性组织损伤。前列腺有许多微脓肿。当前，经直肠前列腺活检被认为是检测前列腺腺癌的普遍可靠的方法。我们的病例似乎是致命并发症的第六例报告。
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