卵巢皮样囊肿被对甲氧西林敏感的金黄色葡萄球菌超级感染，导致一名青少年被误诊为阑尾炎。
Ovarian dermoid cyst super-infected with methicillin-sensitive Staphylococcus aureus leading to the misdiagnosis of appendicitis in an adolescent.
作者信息
Spencer Ryan J, Kurek Kyle C, Laufer Marc R
机构信息
Department of Obstetrics, Gynecology, and Reproductive Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
出版信息
J Pediatr Adolesc Gynecol. 2011 Apr;24(2):e25-8. doi: 10.1016/j.jpag.2010.08.014. Epub 2010 Dec 28.
BACKGROUND
Mature cystic teratomas (dermoid cysts) are the most common ovarian tumor in adolescents. Super-infection of a dermoid cyst is a rare event usually associated with a concomitant infection.
CASE
A 14-year-old female was transferred to our institution with five days of fevers and abdominal pain. CT of the abdomen/pelvis was read as acute appendicitis with a 7.6 cm right adnexal dermoid cyst. The patient was treated for appendicitis but later found to have an infected dermoid cyst primarily infected with methicillin-sensitive staphylococcus aureus, which led the misdiagnosis of appendicitis.
SUMMARY AND CONCLUSION
Super-infection of an ovarian dermoid cyst is an extremely rare event. We recommend that previously described evaluation, surgical management, and ovarian conservation be employed in all cases of ovarian dermoid cysts.
背景
成熟囊性畸胎瘤（皮样囊肿）是青少年中最常见的卵巢肿瘤。皮样囊肿的超级感染是一种罕见事件，通常与合并感染有关。
病例
一名14岁女性因发热和腹痛5天被转至我院。腹部/盆腔CT显示为急性阑尾炎，伴有一个7.6厘米的右侧附件皮样囊肿。患者接受了阑尾炎治疗，但后来发现患有主要由对甲氧西林敏感的金黄色葡萄球菌感染的皮样囊肿，这导致了阑尾炎的误诊。
总结与结论
卵巢皮样囊肿的超级感染是极其罕见的事件。我们建议在所有卵巢皮样囊肿病例中采用先前描述的评估、手术管理和卵巢保留方法。
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