Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis
Postoperative septic complications of hemorrhoids surgical interventions are rare, but very serious with high mortality rate. Early diagnosis and prompt therapy are essential to save patient’s life. There are a good number of articles and case reports about these septic complications. We are present...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/4154016 |
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| author | Asem Saleh Abdelnasir Kibeida Elsaid Amin Abdalla Khalil Rafat Abu Shakra Mohamed Elwakil |
| author_facet | Asem Saleh Abdelnasir Kibeida Elsaid Amin Abdalla Khalil Rafat Abu Shakra Mohamed Elwakil |
| author_sort | Asem Saleh |
| collection | DOAJ |
| description | Postoperative septic complications of hemorrhoids surgical interventions are rare, but very serious with high mortality rate. Early diagnosis and prompt therapy are essential to save patient’s life. There are a good number of articles and case reports about these septic complications. We are presenting a case report of a prostatic abscess caused by extended spectrum beta lactamase (ESBL) producing Klebsiella pneumoniae after hemorrhoidopexy. Our patient was a healthy middle aged Saudi male who has no significant medical history apart from morbid obesity and recurrent urinary tract infections. ESBL producing K. pneumoniae could be detected only after aspiration of the prostatic abscess, but proper antibiotic was introduced intravenously on admission before culture of aspirate of the abscess was available. Antibiotic was continued for 30 days and abscess resolved completely. In our electronic search, we could not find any case report of prostatic abscess after stapled hemorrhoidopexy caused by ESBL producing organism. This is an additional challenge for treating physicians as these organisms are sensitive only to one group of antibiotics (carbapenem group). |
| format | Article |
| id | doaj-art-6d00c623ba444428824bde36ebfdd238 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-6d00c623ba444428824bde36ebfdd2382025-08-20T03:34:10ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/41540164154016Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative SepsisAsem Saleh0Abdelnasir Kibeida1Elsaid Amin2Abdalla Khalil3Rafat Abu Shakra4Mohamed Elwakil5International Medical Centre (IMC) Hospital, Internal Medicine Department, Jeddah, Saudi ArabiaIMC Hospital, General Surgery Department, Jeddah, Saudi ArabiaIMC Hospital, Radiology Department, Jeddah, Saudi ArabiaInternational Medical Centre (IMC) Hospital, Internal Medicine Department, Jeddah, Saudi ArabiaIMC Hospital, Clinical Pathology Department, Saudi ArabiaIMC Hospital, Emergency Medicine Department, Jeddah, Saudi ArabiaPostoperative septic complications of hemorrhoids surgical interventions are rare, but very serious with high mortality rate. Early diagnosis and prompt therapy are essential to save patient’s life. There are a good number of articles and case reports about these septic complications. We are presenting a case report of a prostatic abscess caused by extended spectrum beta lactamase (ESBL) producing Klebsiella pneumoniae after hemorrhoidopexy. Our patient was a healthy middle aged Saudi male who has no significant medical history apart from morbid obesity and recurrent urinary tract infections. ESBL producing K. pneumoniae could be detected only after aspiration of the prostatic abscess, but proper antibiotic was introduced intravenously on admission before culture of aspirate of the abscess was available. Antibiotic was continued for 30 days and abscess resolved completely. In our electronic search, we could not find any case report of prostatic abscess after stapled hemorrhoidopexy caused by ESBL producing organism. This is an additional challenge for treating physicians as these organisms are sensitive only to one group of antibiotics (carbapenem group).http://dx.doi.org/10.1155/2017/4154016 |
| spellingShingle | Asem Saleh Abdelnasir Kibeida Elsaid Amin Abdalla Khalil Rafat Abu Shakra Mohamed Elwakil Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis Case Reports in Surgery |
| title | Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis |
| title_full | Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis |
| title_fullStr | Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis |
| title_full_unstemmed | Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis |
| title_short | Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis |
| title_sort | prostatic abscess after stapled hemorrhoidopexy caused by esbl extended spectrum beta lactamase producing klebsiella pneumoniae an additional challenge to postoperative sepsis |
| url | http://dx.doi.org/10.1155/2017/4154016 |
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