title: Post-partum, post-sterilization tubo-ovarian abscess caused by Fusobacterium necrophorum: a case report.
abstract: BACKGROUND
  Post-partum, post-sterilization tubo-ovarian abscess is a rare event. Fusobacterium necrophorum subspecies funduliforme, a normal flora found mainly in the oral cavity, appears to be the etiologic organism.
  
  
  METHODS
  In this case report, a 25-year-old Thai woman had a post-partum, post-sterilization tubo-ovarian abscess caused by the strictly anaerobic bacterium, Fusobacterium necrophorum subspecies funduliforme. Progressively severe symptoms started 3 weeks after her third vaginal delivery with a tubal sterilization on the following day. On admission, she presented with peritonitis and impending shock. An exploratory laparotomy showed a ruptured left tubo-ovarian abscess. A segment of her ileum had to be resected because of severe inflammation.
  
  
  CONCLUSIONS
  Fusobacterium necrophorum subspecies funduliforme can be an etiologic organism of a ruptured tubo-ovarian abscess following tubal sterilization in a healthy host.
authors.affiliation: Unit of Gynecologic Infectious Diseases and Female Sexually Transmitted Diseases, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Arun-ammarin, Bangkok-Noi, Bangkok, 10700, Thailand. bananachenge@yahoo.com.
authors.forename: Chenchit
authors.initials: C
authors.lastname: Chayachinda
authors.forename: Amornrut
authors.initials: A
authors.lastname: Leelaporn
authors.forename: Pornpimol
authors.initials: P
authors.lastname: Ruangvutilert
authors.forename: Manopchai
authors.initials: M
authors.lastname: Thamkhantho