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Early presentation of vertebral osteomyelitis following a transrectal ultrasound-guided prostate biopsy with delayed radiological findings
  1. Rayko Kalenderov1,
  2. Nikolas Soukratos2,
  3. Prabesh Kirat Rai2 and
  4. Ali Warsi3
  1. 1 Department of Trauma and Orthopaedics, Furness General Hospital, Barrow-in-Furness, UK
  2. 2 Department of Urology, Furness General Hospital, Barrow-in-Furness, UK
  3. 3 Department of General Surgery, Furness General Hospital, Barrow-in-Furness, UK
  1. Correspondence to Dr Rayko Kalenderov, rkalenderov{at}


A transrectal ultrasound-guided (TRUS) prostate biopsy is a common diagnostic procedure which carries an expected risk of iatrogenic infections. These range from simple urinary tract infections to rare but serious infections requiring an admission to hospital. Here we present a rare case of vertebral osteomyelitis following a TRUS biopsy, with normal initial MRI and bone scintigraphy scans and delayed radiological findings on repeat MRI of the spine.

  • prostate
  • urological surgery

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  • Patient consent for publication Obtained.

  • Contributors All authors certify that they have participated sufficiently in the work to take public responsibility for the content, including participation in the concept, design, analysis, writing or revision of the manuscript; gave final approval of the version to be published. Conception or design of the work; drafting the article: RK and NS. Data collection: RK and PKR. Data analysis and interpretation: RK and AW. Critical revision of the article: AW.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer Each author certifies that this material or similar material has not been and will not be submitted to or published in any other publication before its appearance in BMJ Case Report.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.