Management of Salmonella ovarian abscess in a patient with systemic lupus erythematosus.

Abstract

OBJECTIVE:

To report a patient with systemic lupus erythematosus (SLE) with persistent ovarian abscess infected with Salmonella.

DESIGN:

Case report.

SETTING:

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital.

PATIENT(S):

A 35-year-old woman with a 10-year history of SLE had intermittent fever with chills that was refractory to empirical antibiotics.

INTERVENTION(S):

Ceftriaxone was administered on the basis of blood culture showing Salmonella group B infection and was followed by image-guided drainage.

MAIN OUTCOME MEASURE(S):

Removal of pelvic abscess.

RESULT(S):

Right ovarian abscess persisted despite percutaneous drainage. Laparoscopic removal of the encapsulated abscess was performed, and she remained well during her 6-month follow-up.

CONCLUSION(S):

Appropriate administration of antibiotics is the mainstay treatment for Salmonella infection complicated with SLE. Any localized abscess after prolonged antibiotics should be treated with surgical debridement to ensure complete eradication of infection. Conservative surgery with use of laparoscopy is an option in skilled personnel.

• Authors: Angel Chao, An-Shine Chao, Tzu-Hao Wang, Lei-Pang Liu, Chin-Jung Wang
• Journal: Fertility and sterility (Fertil Steril) Vol. 92 Issue 1 Pg. 391.e1-3 (Jul 2009) ISSN: 1556-5653 [Electronic] United States
• PMID: 19304287 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Anti-Bacterial Agents

Topics

• Abscess (complications, drug therapy, microbiology, surgery)
• Adult
• Anti-Bacterial Agents (therapeutic use)
• Female
• Humans
• Laparoscopy
• Lupus Erythematosus, Systemic (complications)
• Ovarian Diseases (complications, drug therapy, microbiology, surgery)
• Salmonella Infections (complications, drug therapy, surgery)
• Tomography, X-Ray Computed