Tuesday, August 12, 2008

Escherichia coli Extensive Cellulitis After Laparoscopic Radical Prostatectomy.

Escherichia coli Extensive Cellulitis After Laparoscopic Radical Prostatectomy.
July 2008

El Karoui K, Lanternier F, Taieb F, Poirée S, Zahar JR, Mechaï F, Lortholary O, Peyromaure M.

Center of Infectiology Necker-Pasteur, Hôpital Necker Enfants-Malades, Paris, France; Departments of Infectious Diseases, Hôpital Necker Enfants-Malades, Paris, France.


A 59-year-old patient underwent laparoscopic radical prostatectomy (LRP) in our department. After surgery, he had an extensive cellulitis of the right flank develop. Urine, drainage effluent, and blood cultures were all positive for Escherichia coli. Prolonged broad spectrum antibiotherapy allowed progressive resolution of the cellulitis. This case shows that severe cellulitis can occur after LRP. Urinary tract infection and vesicourethral anastomotic leakage may contribute to this complication.

Elsevier

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