title: Abiotrophia/Granulicatella tubo-ovarian abscess in an adolescent virginal female.
abstract: Tubo-ovarian abscess (TOA) is a common acute complication of pelvic inflammatory disease (PID). It can also develop as a complication of pelvic or abdominal surgery, malignancy, and intra-abdominal processes such as appendicitis. In premenopausal women, PID is the most common cause of tubo-ovarian abscess. We report a case of tubo-ovarian abscess in a virginal adolescent female with no past surgical history and no known history of appendicitis, inflammatory bowel disease, or cancer. Cultures of the tubo-ovarian abscess drainage grew Abiotrophia/Granulicatella species. This case supports including TOA in the broad differential diagnosis for abdominal pain with fever in adolescent females regardless of sexual history.
authors.affiliation: University of Rochester School of Medicine and Dentistry, Department of Obstetrics and Gynecology, Rochester, New York 14642, USA.
authors.forename: William G
authors.initials: WG
authors.lastname: Gensheimer
authors.forename: Sireesha Y
authors.initials: SY
authors.lastname: Reddy
authors.forename: Marcy
authors.initials: M
authors.lastname: Mulconry
authors.forename: Christine
authors.initials: C
authors.lastname: Greves
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D056567:Aerococcaceae / Q000302:isolation & purification*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D056568:Carnobacteriaceae / Q000302:isolation & purification*; D004359:Drug Therapy, Combination; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008795:Metronidazole / Q000627:therapeutic use; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D010052:Ovariectomy; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D008795:Metronidazole; D000077725:Piperacillin, Tazobactam Drug Combination; D010397:Penicillanic Acid; D010878:Piperacillin