Abstract
A 68-year-old man with benign prostatic hypertrophy underwent an uncomplicated laser ablation of the prostate for long-standing bladder outlet obstruction requiring self-catheterization. The procedure was performed in an outpatient clinic, with perioperative administration of intravenous cefazolin, and the patient was instructed to continue self-catheterization. Fifteen days after the ablation, he developed malaise, chills, and subjective fever. His symptoms progressed, and on postoperative day 18 he presented to a primary care physician with hypotension. He had rigors and was afebrile and weak; the remainder of the physical examination was unremarkable.
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