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

作者信息

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

机构信息

Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Tamba, Japan.

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.

出版信息

BMC Infect Dis. 2016 Sep 29;16(1):527. doi: 10.1186/s12879-016-1860-0.

DOI:10.1186/s12879-016-1860-0

PMID:27686475

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5041574/

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.

摘要