title: Management of Salmonella ovarian abscess in a patient with systemic lupus erythematosus.
abstract: OBJECTIVE
  To report a patient with systemic lupus erythematosus (SLE) with persistent ovarian abscess infected with Salmonella.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital.
  
  
  METHODS
  A 35-year-old woman with a 10-year history of SLE had intermittent fever with chills that was refractory to empirical antibiotics.
  
  
  METHODS
  Ceftriaxone was administered on the basis of blood culture showing Salmonella group B infection and was followed by image-guided drainage.
  
  
  METHODS
  Removal of pelvic abscess.
  
  
  RESULTS
  Right ovarian abscess persisted despite percutaneous drainage. Laparoscopic removal of the encapsulated abscess was performed, and she remained well during her 6-month follow-up.
  
  
  CONCLUSIONS
  Appropriate administration of antibiotics is the mainstay treatment for Salmonella infection complicated with SLE. Any localized abscess after prolonged antibiotics should be treated with surgical debridement to ensure complete eradication of infection. Conservative surgery with use of laparoscopy is an option in skilled personnel.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 5 Fu-Shin Street, Kueishan, Taoyuan, Taiwan.
authors.forename: Angel
authors.initials: A
authors.lastname: Chao
authors.forename: An-Shine
authors.initials: AS
authors.lastname: Chao
authors.forename: Tzu-Hao
authors.initials: TH
authors.lastname: Wang
authors.forename: Lei-Pang
authors.initials: LP
authors.lastname: Liu
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
mesh_terms: D000038:Abscess / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D010049:Ovarian Diseases / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012480:Salmonella Infections / Q000150:complications / Q000188:drug therapy* / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents