The suppurative abscess of an endometriosic ovarian cyst due to salmonella brandenburg

Magliulo, E; Montanari, M; Dietz, Anne; Torre, Donato

doi:10.1007/bf01640770

Cited by 14 publications

(5 citation statements)

References 1 publication

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“…The low incidence of serotype Brandenburg bacteremia is reflected by the few reports on focal extraintestinal infections. However, case reports have been published on isolation of serotype Brandenburg in a ruptured abdominal aorta (3), in an ovarian cyst due to endometriosis (9), and finally in acute suppurative thyroiditis (4).…”

Section: Case Reportmentioning

confidence: 99%

A Pilot with Pain in His Leg: Thigh Abscess Caused by Salmonella enterica Serotype Brandenburg

Björkman¹,

Nilsson²,

Riesbeck

2002

J Clin Microbiol

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Salmonella enterica serotype Brandenburg is one of the more uncommon serotypes isolated from patients with gastroenteritis. Few cases of extraintestinal infections with serotype Brandenburg have been documented. The first case of a serotype Brandenburg-dependent thigh abscess originating from an atherosclerotic pseudoaneurysm of the femoral artery is reported. CASE REPORTDuring a medium-distance flight, a 57-year-old male Caucasian pilot suddenly experienced sharp pain in his right thigh followed by fever. The patient had hypercholesterolemia and non-insulin-dependent diabetes mellitus regulated by diet. In addition, he had previously experienced mild claudicatio intermittens in his right leg and had thus been prescribed acetylsalicylic acid. On the following day, he was seen by his general physician, who found no signs of deep venous thrombosis and prescribed diclofenac for symptomatic relief. During the subsequent week, the thigh swelling increased and the fever persisted. Five days after the initial symptoms, a tender nonfluctuating mass measuring 10 by 15 cm was found in the right thigh adjacent to the groin. A fine-needle puncture of the mass yielded blood only. A week later, magnetic resonance tomography of the thigh showed an extensive swelling surrounded by soft-tissue edema ( Fig. 1A and B). A pseudoaneurysm of the right femoral artery with extensive collateral circulation was identified by intravenous angiography (Fig. 1C). Empirical antibiotic therapy with difloxacillin (750 mg three times orally) was initiated. However, the patient's condition deteriorated with expansion of the soft tissue mass and persistent fever. The patient was admitted to the hospital. On admission, the leukocyte count was 16.6 ϫ 10 9 /liter with a predominance of neutrophils, the erythrocyte sedimentation rate and C-reactive protein level were 84 mm/h and 160 mg/liter, respectively, and the hemoglobin level was 124 g/liter. Liver and renal function tests were normal. Therapy with intravenously administered cefuroxime was initiated, after which the fever disappeared; however, the soft tissue mass remained unchanged. Three weeks after onset of symptoms, an abscess in the thigh muscles with close connection to the femur was incised and drained of pus. The patient's condition improved rapidly after the surgical intervention. Culture of pus from the abscess revealed growth of Salmonella species strain O4. Bone scintigraphy showed no pathological uptake in the femur or elsewhere in the skeleton. The patient was treated with oral levofloxacin for 3 months with no signs of recurrent infection. Interestingly, 2 weeks prior to the onset of disease, our patient had been to Tunisia, where he had experienced transient gastrointestinal discomfort without diarrhea or fever.The bacterial organism was isolated from the abscess fluid after 4 days of incubation using aerobic flasks with liquid medium (BacT/Alert; Organon Teknika). The isolate was subcultured onto supplemented human blood agar plates containing Columbia II agar, L-cysteine, hemin,...

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Section: Case Reportmentioning

confidence: 99%

A Pilot with Pain in His Leg: Thigh Abscess Caused by Salmonella enterica Serotype Brandenburg

Björkman¹,

Nilsson²,

Riesbeck

2002

J Clin Microbiol

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“…Ovaries may be infected by a hematogenous route in most cases or by direct propagation from an inflamed bowel wall or by an ascending route [9]. In females, though the most common serotype was S. Typhi [10] as in both the cases in our study, ovarian abscesses due to NTS have also been reported [9,11,12].…”

Section: Discussionmentioning

confidence: 63%

Extra-intestinal salmonellosis in a tertiary care center in South India

Sudhaharan

Padmaja

Solanki

et al. 2014

J Infect Dev Ctries

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Introduction: The present study is a retrospective analysis of a total of 36 cases of bacteriologically proven extra-intestinal salmonellosis, managed at Nizam's Institute of Medical Sciences, between 1987 and 2012 (25 years). The extra-intestinal sites involved were the skin, cerebrum, spleen, ovary, synovium, and the skeletal muscle. Methodology: The extra-intestinal specimens were first processed using standard methods. Colonies suspected as Salmonella were identified by standard laboratory methods, initially by manual biochemical reactions and later by the API system (bioMerieux, Marcy l'Etoile-France) and the Vitek-2 system (bioMerieux). All the Salmonella isolates were sent to Central Research Institute, Kasauli, for serotyping. Results: The predominant serotype isolated was Salmonella Typhi (S. Typhi) in 27 (75%) patients, followed by Salmonella Senftenberg (S. Senftenberg) in 5 (14%), Salmonella Paratyphi A (S. Paratyphi A) in 3 (8%), and Salmonella Typhimurium (S. Typhimurium) in 1 (3%). There was an increasing resistance to ampicillin, chloramphenicol, cephalosporins (third generation), and quinolones over the 25 years.Conclusions: The diagnosis of extra-intestinal salmonellosis requires a high degree of clinical suspicion and should be included in the differential diagnosis in patients with deep-seated abscesses.

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“…Common comorbidities seen with A. succiniciproducens sepsis include alcoholism, diabetes mellitus, atherosclerosis, malignancy, surgery and poor dentition [4] . Our patient had liver disease secondary to chronic hepatitis C infection as well as type II diabetes mellitus Hematogenous infection of ovarian cysts by an enteric organism has been described, most commonly with Salmonella species [5] , [6] . We hypothesize that the patient developed bacteremia due to bacterial translocation across the gut wall, followed by hematogenous seeding of the ovarian cyst.…”

Section: Case Reportmentioning

confidence: 87%

Anaerobiospirillum succiniciproducens sepsis in an autopsy patient: A troublesome diagnostic workup

Koshy

Aronson

Vishwanath

et al. 2014

IDCases

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The suppurative abscess of an endometriosic ovarian cyst due to salmonella brandenburg

Cited by 14 publications

References 1 publication

A Pilot with Pain in His Leg: Thigh Abscess Caused by Salmonella enterica Serotype Brandenburg

A Pilot with Pain in His Leg: Thigh Abscess Caused by Salmonella enterica Serotype Brandenburg

Extra-intestinal salmonellosis in a tertiary care center in South India

Anaerobiospirillum succiniciproducens sepsis in an autopsy patient: A troublesome diagnostic workup

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