Sukcharoen N, Treratanachat S
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 1999 May;82(5):511-4.
An infected ovarian cyst in a thalassemic patient is rarely reported. We describe the case of a 22-year old woman with splenectomized homozygous beta-thalassemia who developed high fever and was diagnosed as having an infected ovarian cyst. The mechanisms which beta-thalassemia might predispose to infection and considered to be immunocompromized are discussed. She was given an intravenous antibiotic regimen and the infected ovarian cyst was removed. The difficulties in the diagnosis of an infected ovarian cyst is because of its rarity and the paucity of information on it in the literature. Therefore, the triad of ovarian cyst, immunocompromized host, and signs of infection with failure to identify any other source of infection should raise the suspicion of an infected ovarian cyst.
地中海贫血患者感染性卵巢囊肿鲜有报道。我们描述了一名22岁脾切除的纯合子β地中海贫血女性病例，该患者出现高热，被诊断为感染性卵巢囊肿。文中讨论了β地中海贫血可能易发生感染并被认为免疫功能低下的机制。给予她静脉抗生素治疗方案，并切除了感染的卵巢囊肿。感染性卵巢囊肿诊断困难是因为其罕见且文献中关于它的信息匮乏。因此，卵巢囊肿、免疫功能低下宿主以及有感染迹象但未发现其他感染源这三者并存时，应怀疑为感染性卵巢囊肿。
