{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:06:08Z","timestamp":1764493568417},"reference-count":0,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Scientific World JOURNAL"],"published-print":{"date-parts":[[2006]]},"abstract":"<jats:p><jats:italic>Escherichia coli<\/jats:italic>meningitis is a frequent pathology in children younger than 3 years old, but is an uncommon disease in adults.<jats:italic>E. coli<\/jats:italic>infection is the main cause of intrahospital bacteremia as a consequence of the employment of different medical procedures. Our patient, male, 69 years old, presented with fever, progressive difficulty in breathing, and shivers 24 h after transrectal prostate biopsy, with an absence of any other symptoms. He received prophylactic treatment with ciprofloxacin and later empirical treatment with ampicillin and tobramicin. After that, the patient presented with fever, headache, behavioral changes, somnolence, disorientation, a fluctuating level of conscience, cutaneous widespread pallor, and acute urinary retention. On physical exploration, we observed generalized hypoventilation, Glasgow 10, stiffness of the neck, inconclusive Kernig; the remaining neurological exploration was normal. Systematic of blood: leukocytes = 8,510\/mm<jats:sup>3<\/jats:sup>(94.5% polymorphonuclear), platelet = 87,000\/mm<jats:sup>3<\/jats:sup>, pH = 7.51, pCO<jats:sub>2<\/jats:sub>= 28.8 mmHg, pO<jats:sub>2<\/jats:sub>= 61 mmHg, O<jats:sub>2<\/jats:sub>saturation = 93.8%, and remaining values were normal. Chest X- ray, cranial CT scan, urine cultures were normal. Blood culture:<jats:italic>E. coli.<\/jats:italic>CSF: glucose &lt;0.4 g\/l, total proteins = 3.05 g\/l, PMN = 7 cells. Microscopic examination of the CSF: Gram-negative bacilli; CSF's culture: abundant<jats:italic>E. coli.<\/jats:italic>The case of acute meningitis by multiresistant<jats:italic>E. coli<\/jats:italic>after transrectal prostate biopsy presented demonstrates that antibiotic prevention with ciprofloxacin is not absolutely risk free. Besides the use of antibiotic prevention for multiresistant microorganisms, the urologist and other physicians involved in the procedure must not forget that the rate of major complications of transrectal prostate biopsy is 1%, especially when it is performed in patients who will not benefit from that biopsy.<\/jats:p>","DOI":"10.1100\/tsw.2006.362","type":"journal-article","created":{"date-parts":[[2007,5,25]],"date-time":"2007-05-25T11:38:32Z","timestamp":1180093112000},"page":"2323-2326","source":"Crossref","is-referenced-by-count":3,"title":["<i>E. coli<\/i>Multiresistant Meningitis after Transrectal Prostate Biopsy"],"prefix":"10.1100","volume":"6","author":[{"given":"Diana","family":"Alecsandru","sequence":"first","affiliation":[{"name":"Department of Clinical Immunology, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Israel","family":"Gestoso","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Romero","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine III, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfonso","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine III, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Ruiz","family":"Yag\u00fce","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine III, Hospital Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","container-title":["The Scientific World JOURNAL"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2006\/793960.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2006\/793960.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T14:58:26Z","timestamp":1471964306000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/tswj\/2006\/793960\/abs\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006]]},"references-count":0,"alternative-id":["793960"],"URL":"https:\/\/doi.org\/10.1100\/tsw.2006.362","relation":{},"ISSN":["1537-744X"],"issn-type":[{"value":"1537-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006]]}}}