Tubo-Ovarian Abscess Caused by Candida Albicans in an Obese Patient

To, Valerie; Gurberg, Joshua; Krishnamurthy, Srinivasan

doi:10.1016/s1701-2163(15)30257-7

Cited by 9 publications

(8 citation statements)

References 19 publications

(28 reference statements)

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“…In the second case we describe here, the peritonitis infection might have ascended from the vagina through the fallopian tubes because this patient had salpingitis [22] , [23] . This source of infection has been described in a previously healthy 31-year-old woman [24] .…”

Section: Discussionmentioning

confidence: 83%

Unusual presentations of Comamonas kerstersii infection

Almuzara

Barberis

Veiga

et al. 2017

New Microbes and New Infections

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The association of Comamonas kerstersii with peritonitis resulting from the presence of perforated appendix has previously been described by our research team. In the present study, we describe the isolation of this microorganism from two forms of unusual presentations of C. kerstersii infection not previously described in the literature: localized intra-abdominal infection (psoas abscess) and pelvic peritonitis.

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Section: Discussionmentioning

confidence: 83%

Unusual presentations of Comamonas kerstersii infection

Almuzara

Barberis

Veiga

et al. 2017

New Microbes and New Infections

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“…TOA and THPO can be caused by pathogens other than the STIs examined in our study or even normal vaginal flora. For example, Candida albicans [7], Streptococcus constellatus [16], Enterobius vermicularis [17], Salmonella spp [18], Brucella spp [19], Eikenella corrodens [20], and Actinomyces spp [21] have all been implicated as causative microorganisms, but instances such as these are rarely reported. THPO infections, and in particular TOA, are often a combination of facultative, aerobic, and anaerobic bacteria [22].…”

Section: Discussionmentioning

confidence: 99%

“…Although there are frequent case reports of TOA [6][7][8], only a few large reviews exist in the literature outlining the characteristics of patients with TOA or THPO [9][10][11]. Furthermore, some of these retrospective reviews occurred several decades ago when epidemiologic and microbiologic patterns of infection were undoubtedly different from more current clinical observations [10][11].…”

Section: Introductionmentioning

confidence: 99%

Epidemiologic and Clinical Characteristics of Tubo-Ovarian Abscess, Hydrosalpinx, Pyosalpinx, and Oophoritis in Emergency Department Patients

Mohseni

Simon

Sheele

2020

Cureus

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Introduction Pelvic inflammatory disease (PID) is a spectrum of illness ranging from mild illness to more severe forms including tubo-ovarian abscess, hydrosalpinx, pyosalpinx, oophoritis (THPO). The objective of the study was to report rates and clinical characteristics of females presenting to the ED with a diagnosis of THPO in relationship to the presence or absence of sexually transmitted infections (STIs). Methods A database of ED patient encounters occurring from April 18, 2014, to March 7, 2017 was created. Analysis of women diagnosed with THPO and who had testing for gonorrhea, chlamydia, or trichomonas by nucleic acid amplification testing or who had a vaginal wet preparation was performed. Patient demographics, ED diagnoses, laboratory tests, medications administered in the ED, and medications prescribed were examined. Categorical variables were summarized as count and percentages and analyzed using the Chi-square test. Continuous variables were summarized as the mean and standard deviation and analyzed using the t-test. All statistical tests were two-sided with a significance level of 0.05. Results THPO was diagnosed in 0.3% (56/17,905) of patient encounters. There were 50% (28/56) of women with THPO admitted to the hospital. There were 25.0% (12/48) women who received a positive test result for Neisseria gonorrhoeae, Chlamydia trachomatis, and/or Trichomonas vaginalis. Women with THPO were significantly older, more likely to be infected with gonorrhea, and more likely to be diagnosed with sepsis and PID (P<.05 for all). Conclusions THPO is an infrequently encountered entity in the ED. A diagnosis of STI, PID, and sepsis can accompany these presentations. Although an uncommon diagnosis, ED providers must be attentive to patients presenting with pelvic symptoms that could be consistent with THPO to mitigate any complications that may arise and to direct the appropriate treatment.

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“…We must cautiously look out for postoperative infections after OPU regardless of the diameter of the endometriotic cyst. Gardella vaginalis, Enterococcus sp., Streptococcus sp., E. coli, and Candida Albicans have been reported in TOAs[12] [13][14]. Pathogens are often not isolated in cultures, but E. coli was isolated in this patient, and the possibility of an ascending route of infection was considered.…”

mentioning

confidence: 98%

A Patient with Tubo-Ovarian Abscess with Endometriosis after Transvaginal Oocyte Retrieval

Muramoto¹,

Koike²

2020

OJOG

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Ultrasound-guided oocyte retrieval is a standard procedure for ovum pick up (OPU) during in vitro fertilization. Possible complications include tubo-ovarian abscesses (TOAs) in the fallopian tubes, and endometriosis may be associated with increasing the severity of pelvic infection. A 35-year-old woman who had been treated for infertility and endometriosis presented with abdominal pain that appeared several days after OPU. There were no significant changes in the size of both ovaries and fallopian tubes. A week later, transvaginal echography revealed right oviduct enlargement. Because conservative treatment with antibiotics before this revelation had not been successful, laparoscopy was performed for abscess drainage and/or excision of the adnexa. Intraoperative findings were an abscess in the right adnexa involving the ovary and fallopian tube. Preservation of the right fallopian tube was difficult due to the risk of prolonged infection, and a right appendectomy was performed. The diagnosis was a right TOA. Severe cases of pelvic infection after OPU may cause infertility. The presence of endometriosis may aggravate the infection, but the relationship between the extent of the endometriosis and the severity of the infection is not known. Even if the endometriosis is mild, as it was in this patient, surgical treatment should be considered if a severe infection occurs after OPU and conservative treatment is not effective.

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Tubo-Ovarian Abscess Caused by Candida Albicans in an Obese Patient

Abstract: Because morbid obesity may confer a relative immunodeficiency, morbidly obese patients may develop unusual infections such as opportunistic fungal abscesses.

Cited by 9 publications

References 19 publications

Unusual presentations of Comamonas kerstersii infection

Unusual presentations of Comamonas kerstersii infection

Epidemiologic and Clinical Characteristics of Tubo-Ovarian Abscess, Hydrosalpinx, Pyosalpinx, and Oophoritis in Emergency Department Patients

A Patient with Tubo-Ovarian Abscess with Endometriosis after Transvaginal Oocyte Retrieval

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