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Pyosalpinx: not always a sexual transmitted disease? Pyosalpinx caused by Plesiomonas shigelloides in an
1Department of Surgery, City Hospital, Neuchâtel, Switzerland Department of Medicine, City Hospital, Neuchâtel, Switzerland. thierry.roth@insel.ch
Abstract:
Plesiomonas shigelloides are ubiquitous Gram-negative bacteria that are found in fresh or marine water, particularly in tropical or warm climates; they were recently implicated in diarrhoeal disease. Patients usually present with a history of recent travel to tropical regions or consumption of uncooked seafood. Extraintestinal disease has rarely been reported, occurring generally in neonates or immunocompromised patients, and is often fatal. We report a case of right pyosalpinx due to P. shigelloides acquired by swimming in contaminated water. Laparoscopic salpingectomy led to a good outcome.
Insights
Plesiomonas shigelloides bacteria, commonly found in water, can cause serious infections. This case highlights a rare pyosalpinx infection acquired through swimming, successfully treated with salpingectomy.
Area of Science:
- Microbiology
- Infectious Diseases
- Gynecology
Background:
- Plesiomonas shigelloides are Gram-negative bacteria prevalent in freshwater and marine environments, especially in warm climates.
- Recently implicated in diarrheal disease, often linked to travel or seafood consumption.
- Extraintestinal infections are rare, typically occurring in vulnerable populations like neonates or immunocompromised individuals, and often have a poor prognosis.
Observation:
- A case of right pyosalpinx (pus in the fallopian tube) is presented.
- The infection was caused by Plesiomonas shigelloides.
- The patient acquired the infection by swimming in contaminated water.
Findings:
- Plesiomonas shigelloides can cause rare but severe extraintestinal infections, such as pyosalpinx.
- Surgical intervention, specifically laparoscopic salpingectomy, was effective in treating the condition.
- The patient experienced a favorable outcome following the procedure.
Implications:
- This case expands the understanding of Plesiomonas shigelloides pathogenesis, particularly its potential to cause gynecological infections.
- Highlights the risk of extraintestinal infections from environmental exposure to this bacterium.
- Emphasizes the importance of considering Plesiomonas shigelloides in the differential diagnosis of severe infections, even in non-traditional exposure scenarios.