Perimenopausal Pneumococcal Tubo-Ovarian Abscess – a Case Report and Review. Issue 1 (2004)

• Record Type: Journal Article
• Authors: Seshadri, Srividya; Kirwan, John; Neal, Tim
• Is Part Of: Infectious diseases in obstetrics and gynecology. Volume 12:Issue 1(2004)
• Page Start: 27
• Page End: 30
• Publication Date: 2004
• Subjects: Generative organs, Female -- Infections -- Periodicals; Communicable diseases in pregnancy -- Periodicals; 618.142005
• DOI: 10.1080/1064744042000210366
• Languages: English
• ISSNs: 1064-7449

Abstract

Abstract : Background: Genital tract infections in females secondary to Streptococcus pneumoniae (pneumococcus) are unusual. Tubo-ovarian abscess resulting from such an infection is a rare occurrence and diagnosis is not always easy. This report demonstrates the problems of recognizing this condition and summarizes the pathomechanism, investigations leading to a diagnosis and the subsequent management. Case: A rare case of a tubo-ovarian abscess caused by pneumococcus, occurring in a previously healthy 48- year-old woman, is presented. The tubo-ovarian abscess may have developed insidiously and probably had an acute exacerbation prior to presentation. Conclusion: This case is unusual in that there were no identifiable initiating events for the source of the pneumococcal infection. Early recognition of a tubo-ovarian abscess is important in order to prevent the associated morbidity and mortality. This condition has the propensity to mimic a neoplasm.