Perimenopausal pneumococcal tubo-ovarian abscess--a case report and review.
BACKGROUND
Genital tract infections in females secondary to Streptococcus pneumoniae (pneumococcus) are unusual. Tubo-ovarian abscess resulting from such an infection is a rare occurrence and diagnosis is not always easy. This report demonstrates the problems of recognizing this condition and summarizes the pathomechanism, investigations leading to a diagnosis and the subsequent management.


METHODS
A rare case of a tubo-ovarian abscess caused by pneumococcus, occurring in a previously healthy 48-year-old woman, is presented. The tubo-ovarian abscess may have developed insidiously and probably had an acute exacerbation prior to presentation.


CONCLUSIONS
This case is unusual in that there were no identifiable initiating events for the source of the pneumococcal infection. Early recognition of a tubo-ovarian abscess is important in order to prevent the associated morbidity and mortality. This condition has the propensity to mimic a neoplasm.
Department of Obstetrics and Gynaecology, Liverpool Women's Hospital, Liverpool, UK. v9dya@hotmail.com
Srividya
S
Seshadri
John
J
Kirwan
Tim
T
Neal
D000038:Abscess / Q000175:diagnosis* / Q000473:pathology; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D002979:Climacteric; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D013296:Streptococcus pneumoniae / Q000302:isolation & purification
D019980:Amoxicillin-Potassium Clavulanate Combination