An extremely rare case of tubo-ovarian abscesses involving corynebacterium striatum as causative agent.
BACKGROUND
We present an extremely rare case of tubo-ovarian abscesses involving Corynebacterium striatum (C. striatum) as causative agent in a 53-year-old woman.


METHODS
The patient presented with stomach pain, chills, and nausea. Her medical history included poorly controlled psoriasis vulgaris and diabetes. Laboratory and imaging findings led to diagnosis of septic shock due to tubo-ovarian abscesses. She was treated with antibiotic therapy and surgery to remove the left adnexa. Various cultures detected Prevotella spp. and C. striatum. We concluded that C. striatum from skin contaminated by psoriasis vulgaris had caused the tubo-ovarian abscesses by way of ascending infection.


CONCLUSIONS
This may be the first known case of tubo-ovarian abscesses due to C. striatum. In patients whose skin has been weakened by psoriasis vulgaris or other infections, Corynebacterium should be considered as causative microorganisms, and antibiotic therapy including vancomycin should be administered.
Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.
Tetsuya
T
Yamamoto
Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Tamba, Japan. smile.kenzaka@jichi.ac.jp.|Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, 2-1-5, Arata-cho, Hyogo-ku, Kobe, Hyogo, 652-0032, Japan. smile.kenzaka@jichi.ac.jp.
Tsuneaki
T
Kenzaka
Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.
Shimpei
S
Mizuki
Department of Obstetrics and Gynecology, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.
Yuki
Y
Nakashima
Department of Obstetrics and Gynecology, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.
Houu
H
Kou
Department of Obstetrics and Gynecology, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.
Motoyoshi
M
Maruo
Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.
Hozuka
H
Akita
Corynebacterium striatum; Psoriasis vulgaris; Tubo-ovarian abscesses; Upper reproductive tract infection
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