Perimenopausal Pneumococcal Tubo-Ovarian Abscess – a CaseReport and Review

[摘要] Background:Genital tract infections in females secondary to Streptococcus pneumoniae (pneumococcus) areunusual. Tubo-ovarian abscess resulting from such an infection is a rare occurrence and diagnosis is not alwayseasy. This report demonstrates the problems of recognizing this condition and summarizes thepathomechanism, investigations leading to a diagnosis and the subsequent management.Case:A rare case of a tubo-ovarian abscess caused by pneumococcus, occurring in a previously healthy 48-year-old woman, is presented. The tubo-ovarian abscess may have developed insidiously and probably had anacute exacerbation prior to presentation.Conclusion:This case is unusual in that there were no identifiable initiating events for the source of thepneumococcal infection. Early recognition of a tubo-ovarian abscess is important in order to prevent theassociated morbidity and mortality. This condition has the propensity to mimic a neoplasm.

[学科分类] 妇产科学