Tubo-ovarian abscess infected by<i>Salmonella typhi</i>

Sharma, Paban; Bhuju, Abhusani; Tuladhar, R; Parry, Christopher M.

doi:10.1136/bcr-2017-221213

Cited by 5 publications

(7 citation statements)

References 20 publications

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“…Extraintestinal manifestations of Salmonella Typhi are not common even in endemic areas. A few cases of ovarian abscess caused by Salmonella Typhi have been reported from India [11, 12], Nepal [13], Malta [14], and Spain [15]. Risk factors for ovarian infections are not fully understood.…”

Section: Discussionmentioning

confidence: 99%

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Ovarian abscess caused by Salmonella enterica serovar Typhi: a case report

et al. 2019

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Background Typhoid fever is a human-specific disease caused by a bacterium, Salmonella enterica subspecies enterica serovar Typhi. It is transmitted through ingestion of contaminated food or water. It is mostly diagnosed by blood culture. Salmonella Typhi usually manifests as a febrile illness with bacteremia after initial entry through the gastrointestinal route, but it can occasionally cause significant disease in extraintestinal sites. We report a case of a girl in Fiji with a right ovarian abscess infected by Salmonella Typhi. Case presentation A 14-year-old iTaukei (indigenous Fijian) girl presented to our hospital with abdominal pain of 1 month’s duration. Two days prior to her admission, she developed high-grade fever and nausea and had one episode of vomiting. On presentation, she appeared unwell; she was tachycardic (116 beats per minute) and febrile (38.8 °C). Her abdominal examination revealed generalized tenderness. Other examination findings were normal. The provisional diagnosis of abdominal sepsis led to an emergency laparotomy during which an enlarged right ovary was found to be spontaneously discharging pus. The ovary was incised and drained, and the patient was commenced on intravenous ceftriaxone 1 g twice daily, cloxacillin 1 g four times daily, and metronidazole 500 mg three times daily. She recovered promptly and was discharged to home on the sixth postoperative day. The purulent material from the ovary grew Salmonella Typhi. Conclusion Extraintestinal infections caused by Salmonella Typhi are rare but can cause severe and life-threatening disease. Our patient had a prolonged history of abdominal pain and was found to have a ruptured right ovarian abscess due to Salmonella Typhi. Ovarian abscesses in girls who are not sexually active are not associated with pelvic inflammatory disease and suggest local or hematogenous spread. This case report may increase health workers awareness to include common and endemic infections in the differential diagnosis of unusual clinical presentations to help the initiation of appropriate investigation and management as quickly as possible.

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Section: Discussionmentioning

confidence: 99%

“…Treatment of ovarian abscess caused by Salmonella Typhi includes antibiotics as well as surgical drainage [3, 13]. The choice of antibiotics is generally guided by the susceptibility pattern of the local isolates of Salmonella Typhi [2].…”

Section: Discussionmentioning

confidence: 99%

Ovarian abscess caused by Salmonella enterica serovar Typhi: a case report

et al. 2019

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“…[ 4 ] A few cases have speculated on the route of Salmonella infection associated with ovarian abscess, which is difficult to identify. [ 4 5 6 7 ] The present report is a rare case in which the approximate route of infection was identified from an extremely unbalanced diet.…”

Section: Discussionmentioning

confidence: 89%

“…As for surgery, adhesions between organs were described in all reported cases of Salmonella infection. [ 4 5 6 7 ] In fact, some cases chose more than salpingo-oophorectomy even for premenopausal cases. [ 4 5 6 7 ] Several reports mentioned that the case which started initial conservative treatment with antibiotics eventually required surgical drainage.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Laparoscopy for Ovarian Tumor Due to Salmonella Infection

Tanaka

Ota

Sano

et al. 2022

Gynecology and Minimally Invasive Therapy

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Ovarian abscess is thought to be caused by ascending infection. We experienced a case with ovarian abscess caused by Salmonella. The patient had been monitored for endometrial cysts at an outpatient clinic. She visited our hospital emergently with chief complaints of persistent fever and diarrhea. Although sexually transmitted disease was not suspected, she was diagnosed with pelvic inflammatory disease due to her high C-reactive protein (CRP) level and started antibacterial treatment. Two days later, diagnostic laparoscopy was performed for persisting CRP elevation, and she was diagnosed with ovarian abscesses due to Salmonella infection. As the patient had regularly eaten soft-boiled eggs and chicken, an association with her eating habits was strongly suspected as a cause. When a patient has symptoms of enteritis, preceding tubo-ovarian abscess should be considered the possibility of Salmonella infection. Early diagnosis and treatment are necessary for fertility preservation, and minimally invasive diagnostic laparoscopy is useful.

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“…There have been several reports of infection of ovarian cysts by Salmonella [5][6][7][8][9][10][11][12]. Focal metastatic Salmonella infections are seen in almost every site in the body, attracted by a pre-existent ovarian lesion, or simply by the immunologically privileged ovary.…”

Section: Discussionmentioning

confidence: 99%

Non Typhoidal Salmonella Suppuration of Ovarian Cyst with Sclerosing Peritonitis: An old disease, A New Face

Rajan¹,

Sagili²,

Durairaj³

et al. 2020

SCR

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Invasive non-typhoidal Salmonella is an emerging problem in developing regions like Africa and Asia. Infection of ovarian cysts by typhoid bacilli is a complication dating to the 1800s and is rare in the postantibiotic era. A diabetic, hypertensive post-menopausal lady, our patient presented with a large paraovarian cyst infected the Salmonella group B bacillus. The infection is likely transmitted hematogenously or by the surrounding adherent bowel and omentum. Interestingly, our patient developed sclerosing peritonitis and osseous metaplasia of the rectus sheath as well, possibly a peritoneal inflammation to a disseminated infection. Compounded by her diabetes, the ossified rectus healed poorly, leading to burst abdomen in the post-operative period. Hence, our patient presented with a rare manifestation of an emerging disease. A depressed immune status, influenced by her comorbidities, and the lack of sanitation in pockets of South Asia may have led to a reappearance of these once historic complications of typhoid.

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Tubo-ovarian abscess infected bySalmonella typhi

Cited by 5 publications

References 20 publications

Ovarian abscess caused by Salmonella enterica serovar Typhi: a case report

Ovarian abscess caused by Salmonella enterica serovar Typhi: a case report

Diagnostic Laparoscopy for Ovarian Tumor Due to Salmonella Infection

Non Typhoidal Salmonella Suppuration of Ovarian Cyst with Sclerosing Peritonitis: An old disease, A New Face

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