Prostat Biyopsisi Sonrası Streptococcus agalactiae’ya Bağlı Gelişen Paravertebral Apse ve Spondilodiskit

Streptococcus agalactiae, Lancefied sınıflamasına göre B grubuna ait, fakültatif, gram-pozitif koktur. Önceki yıllarda gebe kadınlarda idrar yolu enfeksiyonu etkeni olarak bilinirken, diğer erişkinlerde nadir görülen bir hastalık etkeni idi. Günümüzde ise S. agalactiae, gebe olmayan erişkinlerde özellikle immün sistemi baskılanmışlarda, kronik ve yaşlı hastalarda, kaynağı saptanamayan bakteriyemi, yumuşak doku enfeksiyonları, üst solunum yolu enfeksiyonları, osteoartikuler enfeksiyonlar, peritonit, kardiyak enfeksiyonlar, menenjit ve diğer odak enfeksiyonları gibi invaziv enfeksiyonların bir nedeni olarak giderek daha fazla saptanmaktadır. Literatürde nadir olmakla birlikte, erişkinlerde S. agalactiae’nin neden olduğu osteoartiküler enfeksiyonlar bildirilmiştir. Bu olgu sunumunda, ultrason eşliğinde transrektal prostat iğne biyopsisi sonrası S. agalactiae’ya bağlı iatrojenik spondilodiskit gelişen bir hastanın sunulması amaçlanmıştır.

Anahtar Kelimeler:

Transrektal prostat biyopsisi, spondilodiskit, Streptococcus agalactiae

Paravertebral Abscess and Spondylodiscitis due to Streptococcus agalactiae after Transrectal Prostate Biopsy

Streptococcus agalactiae, is the species designation for streptococci belonging to Lancefied group B and are facultative, gram-positive diplococci. In the previous years, it was known as urinary tract infection agent in pregnant women, it was rarely detected in other infections in adults. Nowadays, S. agalactiae is increasingly recognized as a cause of invasive infections such as bacteraemia without any focus, skin and soft tissue infections, upper respiratory tract infections, osteoarticular infections, peritonitis, cardiac infections, meningitis and other focal infections among non-pregnant adults, especially in the elderly and immunocompromised patients. Although rare in the literature, osteoarticular infections caused by S. agalactiae have been reported in adults. In this case report, we aimed to present a patient with iatrogenic spondylodiscitis due to S. agalactiae after ultrasound-guided transrectal prostate needle biopsy.

Keywords:

Transrectal prostate biopsy, spondylodiscitis, Streptococcus agalactiae,

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