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Case Reports in Infectious Diseases
Volume 2015, Article ID 159387, 3 pages
Case Report

Enterococcus faecalis Septicemia and Vertebral Osteomyelitis after Transrectal Ultrasound Guided Biopsy of the Prostate

1Johnson Memorial Health Services, 1282 Walnut Street, Dawson, MN 56232, USA
2Infectious Disease, Affiliated Community Medical Centers, 101 Willmar Avenue SW, Willmar, MN 56201, USA

Received 2 October 2015; Revised 13 November 2015; Accepted 15 November 2015

Academic Editor: Paola Di Carlo

Copyright © 2015 Ayaz Virji et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Transrectal ultrasound guided prostate biopsy (TRUS) has rarely been associated with disseminated infection, yet the occurrence appears to be increasing. Resistance to fluoroquinolones, the most commonly used prophylaxis, is one of the likely causes, with Escherichia coli being the most commonly reported cause of these infections. Herein we present what is, to our knowledge, the first case of Enterococcus faecalis septicemia and vertebral osteomyelitis after TRUS. Previously reported cases of this condition are referenced also.