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Post-partum, post-sterilization tubo-ovarian abscess caused by Fusobacterium necrophorum: a case report
Chenchit Chayachinda1, Amornrut Leelaporn, Pornpimol Ruangvutilert
1Unit of Gynecologic Infectious Diseases and Female Sexually Transmitted Diseases, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Arun-ammarin, Bangkok-Noi, Bangkok, 10700, Thailand. bananachenge@yahoo.com.
Introduction:
Post-partum, post-sterilization tubo-ovarian abscess is a rare event. Fusobacterium necrophorum subspecies funduliforme, a normal flora found mainly in the oral cavity, appears to be the etiologic organism.
Case Presentation:
In this case report, a 25-year-old Thai woman had a post-partum, post-sterilization tubo-ovarian abscess caused by the strictly anaerobic bacterium, Fusobacterium necrophorum subspecies funduliforme. Progressively severe symptoms started 3 weeks after her third vaginal delivery with a tubal sterilization on the following day. On admission, she presented with peritonitis and impending shock. An exploratory laparotomy showed a ruptured left tubo-ovarian abscess. A segment of her ileum had to be resected because of severe inflammation.
Conclusions:
Fusobacterium necrophorum subspecies funduliforme can be an etiologic organism of a ruptured tubo-ovarian abscess following tubal sterilization in a healthy host.
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