Pyosalpinx: not always a sexual transmitted disease? Pyosalpinx caused by Plesiomonas shigelloides in an immunocompetent host.
Plesiomonas shigelloides are ubiquitous Gram-negative bacteria that are found in fresh or marine water, particularly in tropical or warm climates; they were recently implicated in diarrhoeal disease. Patients usually present with a history of recent travel to tropical regions or consumption of uncooked seafood. Extraintestinal disease has rarely been reported, occurring generally in neonates or immunocompromised patients, and is often fatal. We report a case of right pyosalpinx due to P. shigelloides acquired by swimming in contaminated water. Laparoscopic salpingectomy led to a good outcome.
Roth
T
T
Department of Surgery, City Hospital, Neuchâtel, Switzerland Department of Medicine, City Hospital, Neuchâtel, Switzerland. thierry.roth@insel.ch
Hentsch
C
C
Erard
P
P
Tschantz
P
P
D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D016981:Plesiomonas / Q000302:isolation & purification*; D012488:Salpingitis / Q000188:drug therapy / Q000382:microbiology*; D013550:Swimming; D014871:Water Microbiology
D000900:Anti-Bacterial Agents; D019980:Amoxicillin-Potassium Clavulanate Combination; D004318:Doxycycline