Kitamura Sachiko, Matsumura Noriomi, Ohtake Noriko, Kita Masato, Konishi Ikuo
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.
J Obstet Gynaecol Res. 2016 Aug;42(8):1052-7. doi: 10.1111/jog.13004. Epub 2016 Apr 14.
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.
胎儿弯曲杆菌常导致免疫功能低下或老年患者发生全身感染以及产前感染，但弯曲杆菌作为健康年轻女性附件炎的病因鲜有报道。在此，我们首次报告两例胎儿弯曲杆菌感染子宫内膜异位囊肿的病例。病例1，一名28岁患有左侧附件囊肿的女性因左侧输卵管卵巢脓肿住院，并接受了左侧输卵管卵巢切除术。病例2，一名22岁患有右侧附件囊肿的女性因双侧输卵管卵巢脓肿住院，并接受了右侧输卵管卵巢切除术和左侧输卵管切除术。在两例病例中，培养均检测到胎儿弯曲杆菌，组织病理学显示为脓性子宫内膜异位囊肿。目前的研究结果表明，子宫内膜异位囊肿可能是胎儿弯曲杆菌感染的病灶。
Zotero 插件