Prostatic abscess in a patient with ST-elevation myocardial infarction: a case report
Yoshito Kadoya1, Tsuneaki Kenzaka2
1Department of Internal Medicine, Kyotambacho Hospital, Kyotambacho, Kyoto, Japan. m03020kdy@gmail.com.
BMC Cardiovascular Disorders
|February 20, 2016
Summary
This case report details a rare prostatic abscess in a patient with ST-elevation myocardial infarction (STEMI). Early urinary catheter removal in STEMI patients on dual-antiplatelet therapy can prevent this serious complication.
Area of Science:
- Cardiology
- Infectious Diseases
- Urology
Background:
- Urinary tract infections are common complications in ST-elevation myocardial infarction (STEMI) patients.
- Prostatic abscess is an exceedingly rare complication in STEMI patients.
Observation:
- A 49-year-old immunocompetent male with STEMI presented with fever and chills.
- Initial diagnosis was catheter-associated urinary tract infection, but CT revealed prostatic abscesses.
- The patient was on dual-antiplatelet therapy, necessitating conservative management with antibiotics alone.
Findings:
- The case represents the first reported instance of prostatic abscess in an immunocompetent STEMI patient.
- Successful treatment was achieved with antimicrobial agents without surgical intervention or drainage.
- The patient demonstrated a remarkable recovery.
Implications:
- Early removal of indwelling urinary catheters in STEMI patients on dual-antiplatelet therapy is crucial to prevent prostatic abscess development.
- Minimizing unnecessary invasive instrumentation in STEMI patients can reduce infection risks.
- This case highlights the importance of considering rare complications in STEMI management.
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