Beta hemolytic streptococcus group f causing pelvic inflammatory disease in a 14-year-old girl.
BACKGROUND
Pelvic inflammatory disease in prepubertal and non-sexually active adolescents is rare and poorly understood. Various organisms have been named as causative agents in adolescent pelvic infections. Early diagnosis and treatment of pelvic inflammatory disease in young girls is imperative to future fertility and long term sequela.


METHODS
We present a 14-year-old, menarchal, non-sexually active female with a 3-week history of abdominal pain and fever. Surgical exploration and cultures revealed Stage IV pelvic inflammatory disease caused by Beta Streptococcus Group F.


CONCLUSIONS
Various organisms including Streptococcal infections should be considered in the differential diagnosis of pelvic inflammatory disease in young girls without risk factors.
Algren
Stacey D
SD
Division of Gynecologic Surgery, Children's Mercy Hospital, and University of Missouri at Kansas City, Kansas City, Missouri 64108, USA.
Strickland
Julie L
JL
D015746:Abdominal Pain / Q000175:diagnosis; D000038:Abscess / Q000382:microbiology; D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000382:microbiology; D000292:Pelvic Inflammatory Disease / Q000382:microbiology*; D012488:Salpingitis / Q000382:microbiology; D013290:Streptococcal Infections / Q000175:diagnosis*; D013291:Streptococcus / Q000145:classification