Bali Belly:<i>Salmonella senftenberg</i>Found in an Infected Ovarian Endometrioma

Pathiraja, P. D. M.; Rafi, Junaid; Woolnough, Emily; Clare, A.

doi:10.1155/2020/3581091

Cited by 3 publications

(7 citation statements)

References 7 publications

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“…6 The latter is possible via direct bacteremia or by the bacteria breaching the intestinal cell wall and entering macrophages which can lead to the involvement of secondary locations of Salmonella. 7 In our case, the Salmonella bacteria could be cultured in blood cultures, a cervical swab, and a stool culture. Our primary hypothesis is contamination during surgery with subsequent triggering of an invasive infection.…”

Section: Discussionmentioning

confidence: 78%

“…Organisms can reach the organs of the female genital tract through three pathways: ascending vaginally, via direct contact with an inflamed bowel or through hematogenous dissemination 6 . The latter is possible via direct bacteremia or by the bacteria breaching the intestinal cell wall and entering macrophages which can lead to the involvement of secondary locations of Salmonella 7 . In our case, the Salmonella bacteria could be cultured in blood cultures, a cervical swab, and a stool culture.…”

Section: Discussionmentioning

confidence: 97%

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Salmonella hvittingfoss, a rare case of postoperative endometritis: A case report and review of the literature

Baïli,

Vereeck,

Jacquemyn

2024

Clinical Case Reports

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Key clinical messageMicrobiological diagnosis of endometritis and appropriate antibiotic treatment based on the antibiogram is essential. We should remain critical about the potential etiologic pathogens, especially when traveling abroad and during pregnancy. Therefore, it is essential to obtain cultures prior to the administration of antibiotics.AbstractWe present a case of postoperative endometritis in a patient with incomplete miscarriage, who underwent dilatation and curettage. Blood, cervical and stool cultures revealed the presence of Salmonella hvittingfoss. Gynecological postoperative infections with Salmonella spp. are rare according to the current literature.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 97%

Salmonella hvittingfoss, a rare case of postoperative endometritis: A case report and review of the literature

Baïli,

Vereeck,

Jacquemyn

2024

Clinical Case Reports

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“…Infected endometrioma is a rare entity, and current literature is limited to a small number of case reports [ 1 , 6 , 8 , [9] , [10] , [11] , [12] , [13] ]. Lower abdominal pain and fever are generally expected clinical findings.…”

Section: Discussionmentioning

confidence: 99%

“…However, in some cases, the insidious onset of symptoms may cause patients to be admitted to the hospital late with signs of peritonitis in a preseptic state. Early detection of infection is vital, as it may be complicated by rupture and can be fatal [ 1 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Multimodality imaging findings of infected endometriomas: “T1 signal reversal” as a potential diagnostic sign?

Onder,

Dilek,

Erdogan

et al. 2023

Radiology Case Reports

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“…As a result, vaginal flora, including anaerobic organisms, Gardnerella vaginalis and Mycoplasma hominis and genitalium can cause various gynecological lesions such as endometritis, salpingitis oophoritis, or abscesses [ 14 ]. In the international literature, there have been reported some clinical cases with infected endometriotic cysts that had a medical history of previous infections, such as gastrointestinal infection due to Helicobacter cinaedi or Salmonella [ 15 , 16 ] and genital tract infections [ 17 ]. These examples support a theory that ovarian abscesses in endometriomas can be caused by the hematogenous or lymphatic spread of bacteria [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Diffuse Peritonitis Due to Spontaneous Rupture of an Infected Endometrioma: A Case Report

Petruškevičiūtė

Bužinskienė

2021

AML

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Background. Endometriosis is defined as a chronic, inflammatory, estrogen-dependent gynaecologic disease. It affects approximately 5–10% of reproductive-age women worldwide. Ovarian endometriosis is the most frequent form of this condition. Endometriotic cysts are found in about 17–44% of women diagnosed with endometriosis. It is well known, that ovarian endometriomas can cause infertility and chronic pelvic pain. Enlarging cysts can also cause ovarian torsion. In addition, ovarian endometriosis slightly increases the risk for ovarian cancer. The rupture of endometriotic ovarian cysts is an exceptional complication. According to the literature, the prevalence is less than 3% among women with endometriosis. The rupture of an ovarian endometrioma can cause acute peritonitis, which can lead to sepsis, septic shock and can be lethal. The occurrence of abscesses within an ovarian endometrioma is an extremely rare complication. Generally, the origin of infected endometriotic ovarian cysts is related to the previous invasive procedures involving pelvic organs or the use of intrauterine devices. Also, ovarian abscesses can be caused by the hematogenous or lymphatic spread of bacteria. Although, the literature points out that infection of endometriotic ovarian cysts can develop spontaneously. In these rare cases, reservoir and route of infection remains an enigma.Case report. A 49-year-old female was brought to the emergency room with severe generalized lower abdominal pain (6/10) and three days lasting fever. Abdominal examination revealed diffuse abdominal pain with anterior abdominal wall muscle tension. Painful solid masses were felt on both sides of the uterus during the pelvic examination. Cystic masses were detected in both ovaries during transvaginal sonography. Computer tomography (CT) of the abdomen and pelvis revealed abnormal changes in both ovaries. A small amount of free fluid was found in the pelvic cavity along with thickened pelvic peritoneum. Suspecting acute peritonitis and bilateral tubo-ovarian abscesses, surgical treatment was performed. Lower midline laparotomy with bilateral adnexectomy and abdominal lavage with 4000 ml normal saline were done. The outcome of peritonitis was evaluated using the Mannheim peritonitis index (MPI=17 – low risk of morbidity and mortality). The histopathological examination revealed the diagnosis of bilateral endometriotic cysts complicated with acute inflammation, with associated acute inflammation of both fallopian tubes. Microbiological cultures from the purulent fluid were negative.Conclusions. Although the occurrence of abscesses within an ovarian endometrioma is an extremely rare finding in clinical practice, it has to be considered by gynaecologists because it might result in a surgical emergency that can be life-threatening. Being aware of the risk factors of abscesses within an endometrioma can lead to an early diagnosis of this rare condition and help to avoid serious complications.

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Bali Belly:Salmonella senftenbergFound in an Infected Ovarian Endometrioma

Cited by 3 publications

References 7 publications

Salmonella hvittingfoss, a rare case of postoperative endometritis: A case report and review of the literature

Salmonella hvittingfoss, a rare case of postoperative endometritis: A case report and review of the literature

Multimodality imaging findings of infected endometriomas: “T1 signal reversal” as a potential diagnostic sign?

Acute Diffuse Peritonitis Due to Spontaneous Rupture of an Infected Endometrioma: A Case Report

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