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Pelvic abscess caused by a slow growing anaerobic bacterium, Eggerthella lenta: First case report from Pakistan
Pushpa Bhawan Mal1, Irum Rafiq1, Irim Iftikhar1
1Aga Khan University Hospital, Karachi, Pakistan.
Abstract:
We report a case of intrauterine contraceptive device (IUCD) related pelvic abscess caused by a challenging to grow anaerobic Gram positive rod named Eggerthella lenta. A middle aged lady presented with complaints of lower abdomen pain, intermittent vaginal bleeding since two weeks. Ultrasound of abdomen and pelvis showed right adnexal mass involving fallopian tubes, right ovary and gut omentum. She underwent removal of adnexal mass and total abdominal hysterectomy and was treated empirically with vancomycin, ciprofloxacin and metronidazole. Histopathological examination disclosed adenomyosis and chronic non-specific endometritis. Microbiological evaluation of pus aspirate grew Eggerthella lenta.
Insights
This case report highlights Eggerthella lenta, a difficult-to-grow anaerobic bacterium, causing a pelvic abscess in a patient with an intrauterine contraceptive device (IUCD). The study details the diagnostic and treatment challenges associated with this rare infection.
Area of Science:
- Gynecology
- Infectious Diseases
- Microbiology
Background:
- Intrauterine contraceptive devices (IUCDs) are widely used for birth control.
- Pelvic abscesses are serious infections that can arise in the female reproductive tract.
- Eggerthella lenta is an anaerobic Gram-positive rod, often difficult to culture and identify.
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