title: Tubo-ovarian abscess with endometrial cyst probably infected by Campylobacter fetus: Two cases.
abstract: Campylobacter fetus often causes systemic infection in immunocompromised or older patients, and prenatal infection, but Campylobacter has rarely been reported as a cause of adnexitis in healthy young women. Here we report two cases of endometriotic cysts infected by C. fetus for the first time. In case 1, a 28-year-old woman with a left adnexal cyst was hospitalized for left tubo-ovarian abscess and underwent left salpingo-oophorectomy. In case 2, a 22-year-old woman with a right adnexal cyst was hospitalized for a bilateral tubo-ovarian abscess and underwent right salpingo-oophorectomy and left salpingectomy. In both cases, C. fetus was detected on culture, and histopathology indicated a purulent endometriotic cyst. The present findings suggest that endometriotic cyst can be a focus of C. fetus infection.
authors.affiliation: Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.|Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Kobe, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Kitamura
authors.affiliation: Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors.forename: Noriomi
authors.initials: N
authors.lastname: Matsumura
authors.affiliation: Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Kobe, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Ohtake
authors.affiliation: Department of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Kobe, Japan.|Department of Obstetrics and Gynecology, Kansai Medical University, Hirakata, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Kita
authors.affiliation: Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors.forename: Ikuo
authors.initials: I
authors.lastname: Konishi
mesh_terms: D015746:Abdominal Pain / Q000150:complications; D000038:Abscess / Q000000981:diagnostic imaging; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002169:Campylobacter Infections / Q000150:complications / Q000175:diagnosis*; D002168:Campylobacter fetus / Q000302:isolation & purification / Q000472:pathogenicity*; D005260:Female; D005334:Fever / Q000150:complications; D006801:Humans; D010048:Ovarian Cysts / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery; D010052:Ovariectomy; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery; D058994:Salpingectomy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Campylobacter fetus; adnexitis; bacteremia; endometriotic cyst; tubo-ovarian abscess