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Unusual presentation of more common disease/injury
CASE REPORT
Tubo-ovarian abscess infected by Salmonella typhi
  1. Paban Sharma1,
  2. Abhusani Bhuju2,
  3. Ruhee Tuladhar1,
  4. Christopher M Parry3,
  5. Buddha Basnyat2
  1. 1Department of Obstetrics and Gynecology, Patan Hospital, Kathmandu, Nepal
  2. 2Oxford University Clinical Research Unit, Patan Hospital, Kathmandu, Nepal
  3. 3Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
  1. Correspondence to Professor Buddha Basnyat, buddha.basnyat{at}ndm.ox.ac.uk

Summary

We report a case of a tubo-ovarian abscess infected with Salmonella enterica serotype typhi. A 19-year-old Nepalese woman presented to a hospital in Kathmandu with lower abdominal pain, constipation, fever and a non-healing, suppurative surgical wound from an emergency caesarian section performed 2 months previously at 37 weeks of pregnancy. She also had an exploratory laparotomy for an appendix perforation with peritonitis at 25 weeks of gestation. Her wound infection did not respond to cloxacillin and she had an exploratory laparotomy, and a tubo-ovarian abscess was found from which S. typhi was isolated. She had a bilateral salpingo-oophorectomy and responded to 14 days of chloramphenicol. A tubo-ovarian abscess is a rare complication of enteric fever.

  • tropical medicine (infectious disease)
  • obstetrics
  • gynaecology and fertility
  • infectious diseases

https://doi.org/10.1136/bcr-2017-221213

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    Footnotes

    • Contributors All the authors have contributed to the making of this case report. PS, BB and AB conceptualised the report. AB and RT collected informed consent and detailed information from the patient and the related medical staff. BB, AB, RT and PS edited the report into the final presentable manuscript. All the authors were involved in patient care, helped write the manuscript and approved the final version.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.