Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis
Background. Tubo-ovarian abscess involvement of an endometrioma has been reported in cases of patients with polymicrobial sources such as Neisseria gonorrhoeae, Chlamydia trachomatis, and obligate anaerobic bacteria; however, bacterial vaginosis (BV) predisposing to abscess formation in...
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doaj-719aca9dfd084193ba066446d83a0a622020-11-24T20:58:11ZengHindawi LimitedInfectious Diseases in Obstetrics and Gynecology1064-74491098-09972006-01-01200610.1155/IDOG/2006/8414084140Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial VaginosisShahryar K. Kavoussi0Mark D. Pearlman1William M. Burke2Dan I. Lebovic3Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109-0276, USADepartment of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109-0276, USADivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109-0276, USADivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109-0276, USABackground. Tubo-ovarian abscess involvement of an endometrioma has been reported in cases of patients with polymicrobial sources such as Neisseria gonorrhoeae, Chlamydia trachomatis, and obligate anaerobic bacteria; however, bacterial vaginosis (BV) predisposing to abscess formation in an endometrioma has not been reported to date. Case. Superinfection of an endometrioma was surgically diagnosed in a patient with known advanced-stage endometriosis after she presented with acute pelvic inflammatory disease symptoms and was unresponsive to antibiotic therapy. Gram-negative rods were cultured from the endometrioma. On admission, cervical, blood, and urine cultures were negative; BV was diagnosed on normal saline wet prep and gram stain. Conclusion. This case raises the possibility of BV ascension to the upper genital tract predisposing to abscess formation in endometriomas. Therefore, aggressive treatment of BV in patients with known advanced-stage endometriosis may be considered to prevent superinfected endometriomas.http://dx.doi.org/10.1155/IDOG/2006/84140 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shahryar K. Kavoussi Mark D. Pearlman William M. Burke Dan I. Lebovic |
spellingShingle |
Shahryar K. Kavoussi Mark D. Pearlman William M. Burke Dan I. Lebovic Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis Infectious Diseases in Obstetrics and Gynecology |
author_facet |
Shahryar K. Kavoussi Mark D. Pearlman William M. Burke Dan I. Lebovic |
author_sort |
Shahryar K. Kavoussi |
title |
Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis |
title_short |
Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis |
title_full |
Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis |
title_fullStr |
Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis |
title_full_unstemmed |
Endometrioma Complicated by Tubo-Ovarian Abscess in a Woman With Bacterial Vaginosis |
title_sort |
endometrioma complicated by tubo-ovarian abscess in a woman with bacterial vaginosis |
publisher |
Hindawi Limited |
series |
Infectious Diseases in Obstetrics and Gynecology |
issn |
1064-7449 1098-0997 |
publishDate |
2006-01-01 |
description |
Background. Tubo-ovarian abscess involvement of an endometrioma has been reported in cases of
patients with polymicrobial sources such as Neisseria gonorrhoeae, Chlamydia trachomatis,
and obligate anaerobic bacteria; however, bacterial vaginosis (BV) predisposing to abscess formation in
an endometrioma has not been reported to date. Case. Superinfection of an endometrioma was surgically diagnosed in a patient with known advanced-stage endometriosis after she presented with acute pelvic inflammatory disease symptoms and was unresponsive to antibiotic therapy. Gram-negative rods were cultured from the endometrioma. On admission, cervical, blood, and urine cultures were negative; BV was diagnosed on normal saline wet prep and gram stain. Conclusion. This case raises the possibility of BV ascension to the upper genital tract predisposing to abscess formation in endometriomas. Therefore, aggressive treatment of BV in patients with known advanced-stage endometriosis may be considered to prevent superinfected endometriomas. |
url |
http://dx.doi.org/10.1155/IDOG/2006/84140 |
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