title: Sonographically guided intralesional antibiotic injection for treatment of a recalcitrant pelvic abscess: a case report.
abstract: A pelvic abscess occurred in an infertile woman with an endocervical gonococcal infection after hysterosalpingographical examination. The pelvic abscess was not cured despite rigorous antimicrobial chemotherapy until two intra-abscess ceftriaxone injections were administered. This shows that antibiotics administered systemically may not reach therapeutic concentration in an abscess and an intra-abscess antibiotic injection may help to cure it.
authors.affiliation: Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, Taiwan.
authors.forename: M C
authors.initials: MC
authors.lastname: Ou
authors.forename: H T
authors.initials: HT
authors.lastname: Ng
authors.forename: C R
authors.initials: CR
authors.lastname: Tzeng
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000328:Adult; D002443:Ceftriaxone / Q000008:administration & dosage*; D002511:Cephalosporins / Q000008:administration & dosage*; D005260:Female; D006069:Gonorrhea / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D015552:Injections, Intralesional; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014463:Ultrasonography
chemical_list: D002511:Cephalosporins; D002443:Ceftriaxone