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Published in: BMC Infectious Diseases 1/2016

Open Access 01-12-2016 | Case report

An extremely rare case of tubo-ovarian abscesses involving corynebacterium striatum as causative agent

Authors: Tetsuya Yamamoto, Tsuneaki Kenzaka, Shimpei Mizuki, Yuki Nakashima, Houu Kou, Motoyoshi Maruo, Hozuka Akita

Published in: BMC Infectious Diseases | Issue 1/2016

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Abstract

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.

Case presentation

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.
Literature
1.
go back to reference Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynaecol. 2009;23:667–78.CrossRefPubMed Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynaecol. 2009;23:667–78.CrossRefPubMed
2.
go back to reference Landers DV, Sweet RL. Tubo-ovarian abscess: contemporary approach to management. Rev Infect Dis. 1983;5:876–84.CrossRefPubMed Landers DV, Sweet RL. Tubo-ovarian abscess: contemporary approach to management. Rev Infect Dis. 1983;5:876–84.CrossRefPubMed
3.
go back to reference Wiesenfeld HC, Sweet RL. Progress in the management of tuboovarian abscesses. Clin Obstet Gynecol. 1993;36:433–44.CrossRefPubMed Wiesenfeld HC, Sweet RL. Progress in the management of tuboovarian abscesses. Clin Obstet Gynecol. 1993;36:433–44.CrossRefPubMed
4.
go back to reference Wetchler SJ, Dunn LJ. Ovarian abscess. Report of a case and a review of the literature. Obstet Gynecol Surv. 1985;40:476–85.CrossRefPubMed Wetchler SJ, Dunn LJ. Ovarian abscess. Report of a case and a review of the literature. Obstet Gynecol Surv. 1985;40:476–85.CrossRefPubMed
5.
go back to reference Hsu WC, Lee YH, Chang DY. Tuboovarian abscess caused by Candida in a woman with an intrauterine device. Gynecol Obstet Invest. 2007;64:14–6.CrossRefPubMed Hsu WC, Lee YH, Chang DY. Tuboovarian abscess caused by Candida in a woman with an intrauterine device. Gynecol Obstet Invest. 2007;64:14–6.CrossRefPubMed
6.
go back to reference Myckan KA, Booth CM, Mocarski E. Pasteurella multocida bacteremia and tuboovarian abscess. Obstet Gynecol. 2005;106:1220–2.CrossRefPubMed Myckan KA, Booth CM, Mocarski E. Pasteurella multocida bacteremia and tuboovarian abscess. Obstet Gynecol. 2005;106:1220–2.CrossRefPubMed
7.
go back to reference Thaneemalai J, Asma H, Savithri DP. Salmonella tuboovarian abscess. Med J Malaysia. 2007;62:422–3.PubMed Thaneemalai J, Asma H, Savithri DP. Salmonella tuboovarian abscess. Med J Malaysia. 2007;62:422–3.PubMed
8.
go back to reference Ilmer M, Bergauer F, Friese K, Mylonas I. Genital tuberculosis as the cause of tuboovarian abscess in an immunosuppressed patient. Infect Dis Obstet Gynecol. 2009;2009:745060.CrossRefPubMed Ilmer M, Bergauer F, Friese K, Mylonas I. Genital tuberculosis as the cause of tuboovarian abscess in an immunosuppressed patient. Infect Dis Obstet Gynecol. 2009;2009:745060.CrossRefPubMed
9.
go back to reference Hadfield TL, Neafie R, Lanoie LO. Tubo-ovarian abscess caused by streptococcus pneumoniae. Hum Pathol. 1990;21:1288–9.CrossRefPubMed Hadfield TL, Neafie R, Lanoie LO. Tubo-ovarian abscess caused by streptococcus pneumoniae. Hum Pathol. 1990;21:1288–9.CrossRefPubMed
10.
go back to reference Tarr PE, Stock F, Cooke RH, Fedorko DP, Lucey DR. Multidrug-resistant corynebacterium striatum pneumonia in a heart transplant recipient. Transpl Infect Dis. 2003;5:53–8.CrossRefPubMed Tarr PE, Stock F, Cooke RH, Fedorko DP, Lucey DR. Multidrug-resistant corynebacterium striatum pneumonia in a heart transplant recipient. Transpl Infect Dis. 2003;5:53–8.CrossRefPubMed
11.
go back to reference Lee PP, Ferguson Jr DA, Sarubbi FA. Corynebacterium striatum: an underappreciated community and nosocomial pathogen. J Infect. 2005;50:338–43.CrossRefPubMed Lee PP, Ferguson Jr DA, Sarubbi FA. Corynebacterium striatum: an underappreciated community and nosocomial pathogen. J Infect. 2005;50:338–43.CrossRefPubMed
12.
go back to reference Workowski KA, Berman S. Centers for disease control and prevention (CDC). sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep. 2010;59:1–110.PubMed Workowski KA, Berman S. Centers for disease control and prevention (CDC). sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep. 2010;59:1–110.PubMed
13.
go back to reference Reed SD, Landers DV, Sweet RL. Antibiotic treatment of tuboovarian abscess: comparison of broad-spectrum beta-lactam agents versus clindamycin-containing regimens. Am J Obstet Gynecol. 1991;164:1556–61. discussion 1561–2.CrossRefPubMed Reed SD, Landers DV, Sweet RL. Antibiotic treatment of tuboovarian abscess: comparison of broad-spectrum beta-lactam agents versus clindamycin-containing regimens. Am J Obstet Gynecol. 1991;164:1556–61. discussion 1561–2.CrossRefPubMed
14.
go back to reference Ginsburg DS, Stern JL, Hamod KA, Genadry R, Spence MR. Tubo-ovarian abscess: a retrospective review. Am J Obstet Gynecol. 1980;138:1055–8.CrossRefPubMed Ginsburg DS, Stern JL, Hamod KA, Genadry R, Spence MR. Tubo-ovarian abscess: a retrospective review. Am J Obstet Gynecol. 1980;138:1055–8.CrossRefPubMed
15.
go back to reference Chappell CA, Wiesenfeld HC. Pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and tuboovarian abscess. Clin Obstet Gynecol. 2012;55:893–903.CrossRefPubMed Chappell CA, Wiesenfeld HC. Pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and tuboovarian abscess. Clin Obstet Gynecol. 2012;55:893–903.CrossRefPubMed
16.
go back to reference Dewitt J, Reining A, Allsworth JE, Peipert JF. Tuboovarian abscesses: is size associated with duration of hospitalization & complications? Obstet Gynecol Int. 2010;2010:847041.CrossRefPubMedPubMedCentral Dewitt J, Reining A, Allsworth JE, Peipert JF. Tuboovarian abscesses: is size associated with duration of hospitalization & complications? Obstet Gynecol Int. 2010;2010:847041.CrossRefPubMedPubMedCentral
17.
go back to reference Protopapas AG, Diakomanolis ES, Milingos SD, Rodolakis AJ, Markaki SN, Vlachos GD, et al. Tubo-ovarian abscesses in postmenopausal women: gynecological malignancy until proven otherwise? Eur J Obstet Gynecol Reprod Biol. 2004;114:203–9.CrossRefPubMed Protopapas AG, Diakomanolis ES, Milingos SD, Rodolakis AJ, Markaki SN, Vlachos GD, et al. Tubo-ovarian abscesses in postmenopausal women: gynecological malignancy until proven otherwise? Eur J Obstet Gynecol Reprod Biol. 2004;114:203–9.CrossRefPubMed
Metadata
Title
An extremely rare case of tubo-ovarian abscesses involving corynebacterium striatum as causative agent
Authors
Tetsuya Yamamoto
Tsuneaki Kenzaka
Shimpei Mizuki
Yuki Nakashima
Houu Kou
Motoyoshi Maruo
Hozuka Akita
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2016
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-016-1860-0

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