Management of Salmonella ovarian abscess in a patient with systemic lupus erythematosus.
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.
Chao
Angel
A
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 5 Fu-Shin Street, Kueishan, Taoyuan, Taiwan.
Chao
An-Shine
AS
Wang
Tzu-Hao
TH
Liu
Lei-Pang
LP
Wang
Chin-Jung
CJ
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
D000900:Anti-Bacterial Agents