Prostatic abscess in a patient with ST-elevation myocardial infarction: a case report

BMC Cardiovascular Disorders

Case Report

Yoshito Kadoya¹  Tsuneaki Kenzaka² 

[1] Department of Internal Medicine, Kyotambacho Hospital, Kyotambacho, Kyoto, Japan;Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe, Japan;

关键词: Prostatic abscess;    ST-elevation myocardial infarction;    Catheter-associated urinary tract infection;    Urinary tract infection;    Indwelling bladder catheter;   

DOI  :  10.1186/s12872-016-0228-0

 received in 2015-09-07, accepted in 2016-02-12,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundIn patients with ST-elevation myocardial infarction (STEMI), urinary tract infection is the most common infection-related complication. Prostatic abscess in a patient with STEMI is very rare.Case presentationWe report the case of a 49-year-old Japanese man who developed fever and shaking chills during hospitalization for STEMI. We initially diagnosed catheter-associated urinary tract infection. However, subsequent contrast-enhanced computed tomography revealed multiple large abscesses in his prostate. We decided to treat with antimicrobial agents alone because the patient was receiving dual-antiplatelet therapy and discontinuation is very high risk for in-stent thrombosis. The patient recovered remarkably after treatment without drainage or surgery.ConclusionsHere, we described the world’s first reported case of prostatic abscess in an immunocompetent patient with STEMI. Early removal of indwelling bladder catheters in patients with STEMI receiving dual-antiplatelet therapy is important to avoid development of prostatic abscess. Furthermore, unnecessary invasive instrumentation should be avoided or limited to diminish the risk of infections.

【 授权许可】

CC BY   
© Kadoya and Kenzaka. 2016