Fatal Clostridium sordellii ischio-rectal abscess with septicaemia complicating ultrasound-guided transrectal prostate biopsy

Clostridium sordellii is a Gram-positive spore-forming anaerobic bacillus r arely encountered in human infection, A case of C. sordellii ischio-rectal abscess with rapidly fatal septicaemia is described which complicated ultra sound-guided transrectal biopsy of the prostate, despite ciprofloxacin prop hylaxis. Neither C, sordellii ischio-rectal abscess nor ischio-rectal absce ss complicating transrectal biopsy have been reported previously Judging fr om our experience and the reviewed literature, the addition of prophylactic anti-anaerobe drugs should be strongly considered until an optimal prophyl actic regimen will be defined by randomized controlled trials.