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Ovarian abscess from Salmonella: a case report
Hung-Yen Chin1, Ping-Cherng Chiang, Kuang-Chao Chen
1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan, Republic of China. chin671009@yahoo.com.tw
The Journal of Reproductive Medicine
|October 21, 2004
Summary
Ovarian teratomas can rarely harbor Salmonella, leading to infection months after gastroenteritis. Early recognition is key for diagnosing this rare ovarian abscess complication.
Area of Science:
- Gynecology
- Infectious Diseases
- Oncology
Background:
- Ovarian involvement by Salmonella bacteremia is uncommon.
- Teratomas can obscure Salmonella infections.
- Clinicians must consider Salmonella infection in patients with teratomas.
Observation:
- A 19-year-old woman presented with amenorrhea and an adnexal mass.
- She had a history of gastroenteritis two months prior.
- Exploratory laparotomy revealed an infected teratoma with Salmonella.
Findings:
- Salmonella infection typically affects the gastrointestinal tract.
- A nontyphoid Salmonella ovarian abscess is a rare complication of gastroenteritis.
- The teratoma served as a hidden reservoir for Salmonella.
Implications:
- Differential diagnosis of ovarian tumors should include Salmonella infection in susceptible patients.
- Patients with a history of Salmonella infection and ovarian lesions require careful evaluation.
- This case highlights the importance of considering unusual presentations of common infections.