Tubo-Ovarian Abscess Caused by Streptococcus pneumoniae: A Usual Pathogen at an Unusual Site

Beng Kwang Ng, Najah Sahiran, Wendy Yin Ling Ng, Mohd Hashim Omar, Pei Shan Lim

Research output: Contribution to journalArticle

Abstract

Background: Female genital-tract infection is not uncommon. However, a tubo-ovarian abscess (TOA) secondary to Streptococcus pneumoniae is extremely rare. Case: A 46-year-old, para 3, woman presented with a 2-week history of lower abdominal pain and constipation. Assessment showed the presence of a right adnexal mass and free fluid in the pouch of Douglas. Thus, a decision was made to perform a diagnostic laparoscopy, with a working diagnosis of an ovarian cyst accident. Intraoperatively, a right TOA was found and drainage was performed. The pus culture grew out S. pneumoniae. Results: Postoperatively, this patient completed a 14-day course of broad-spectrum antibiotics and recovered well. Sexually transmitted infection screenings were nonreactive. She has remained well with no recurrence of S. pneumoniae observed during follow-up. Conclusions: This case demonstrated the diagnostic challenges involved in detecting and treating a TOA with S. pneumoniae. Management of such a rare infection was revisited.

Original languageEnglish
Pages (from-to)268-270
Number of pages3
JournalJournal of Gynecologic Surgery
Volume34
Issue number5
DOIs
Publication statusPublished - 1 Oct 2018

Fingerprint

Streptococcus pneumoniae
Abscess
Douglas' Pouch
Reproductive Tract Infections
Ovarian Cysts
Suppuration
Constipation
Sexually Transmitted Diseases
Laparoscopy
Abdominal Pain
Accidents
Drainage
Anti-Bacterial Agents
Recurrence
Infection

Keywords

  • Genital tract
  • Infection
  • Laparoscopy
  • Streptococcus pneumoniae
  • Tubo-ovarian abscess

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynaecology

Cite this

Tubo-Ovarian Abscess Caused by Streptococcus pneumoniae : A Usual Pathogen at an Unusual Site. / Ng, Beng Kwang; Sahiran, Najah; Ng, Wendy Yin Ling; Omar, Mohd Hashim; Lim, Pei Shan.

In: Journal of Gynecologic Surgery, Vol. 34, No. 5, 01.10.2018, p. 268-270.

Research output: Contribution to journalArticle

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