title: Emergency surgery for tubo-ovarian abscess identified extended-spectrum beta-lactamase-producingEscherichia coli: the first case presentation revealing causative bacteria.
abstract: We report herein a 41-year-old female with a tubo-ovarian abscess (TOA), which microbial cultures showed to contain extended-spectrum beta-lactamase (ESBL)-producingE. coli,a causative agent of community-acquired infection. The patient initially presented with acute abdominal pain and back pain. Pelvic computed tomography and transvaginal ultrasonography revealed multiple cystic lesions in the bilateral ovaries that suggested TOA. An emergency laparotomy was therefore performed due to the potential for life-threatening septic shock from the TOA-associated pelvic inflammatory disease. Microbial cultures of postoperative fluid discharge from the placed intra-abdominal catheter, vaginal secretions, urine, blood, and feces detected ESBL-producingE.coli.In summary, we successfully performed emergency surgery for life-threatening septic TOA caused by ESBL-producingE. coliinfection.
authors.affiliation: Department of Gastroenterological Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Teppei
authors.initials: T
authors.lastname: Tokumaru
authors.affiliation: Department of Gastroenterological Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Shima
authors.affiliation: Department of Gastroenterological Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Okabayashi
authors.affiliation: Department of Obstetrics and Gynecology, Kochi Health Sciences Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Hayashi
authors.affiliation: Department of Obstetrics and Gynecology, Kochi Health Sciences Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Yorito
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Gastroenterological Surgery, Kochi Health Sciences Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Ozaki
authors.affiliation: Department of Diagnostic Pathology at Kochi Health Science Center, 2125-1 Ike, Kochi-City, Kochi 781-8555 Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Iwata
keywords: Emergency surgery; Extended-spectrum beta-lactamase; Surgery; Tubo-ovarian abscess