Acute Myocarditis as a Complication of Acute Prostatitis: Case Report
Abstract
Maher Al-Hajjaj, Sadiq Asfour, Asmaa Omar, Omar Alqasem, Ahmad Alahmad and Leys Ahmet
Introduction: Myocarditis is an inflammation of cardiac muscle. Several pathogens proved to cause acute myocarditis. E. coli pathogen as a cause of myocarditis is rare.
Case Presentation: We had a 28 years old male who had fever, lower urinary tract symptoms, and lower back pain three days ago. Digital rectal examination revealed enlarged prostate. The diagnosis was acute prostatitis. We started with the right antibiotics. Later, he developed acute chest pain with normal laboratory findings and imaging studies. As a result, we made the diagnosis of acute myocarditis as a complication of acute prostatitis.
Discussion: Several pathogens proved to cause myocarditis. E.coli as a cause of myocarditis is rare and a few reports published. Usually, serum laboratory, ECG, and imaging studies of the heart are negative. Treating the cause of acute prostatitis will lead to recovery from myocarditis.
Conclusion: In normal full cardiac investigations in a patient with chest pain and acute prostatitis, physicians should suspect E.coli sepsis as a cause of myocarditis.