Sato Hiroshi, Ogino Atsuko, Matsuzaka Sunao, Asami Yuna, Kanbayashi Shota, Masuda Miho, Nakashima Ayaka, Yasuda Miki, Morishita Hajime, Ando Yukiko, Oida Kenji, Taguchi Nao, Hirose Masaya
Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
IDCases. 2019 Jun 25;17:e00578. doi: 10.1016/j.idcr.2019.e00578. eCollection 2019.
is a rarely encountered pathogen that easily induces bacteremia. Various foci of infection have been reported; however, no case of adnexal abscess caused by has been reported in the English literature. We herein report a case of ovarian abscess caused by . A 38-year-old nulligravid Japanese woman was admitted to our hospital with an adnexal abscess. Clinical findings included fever, leukocytosis, and elevated C-reactive protein. Laparoscopic right partial oophorectomy with abdominal lavage was performed. was isolated from cultures of blood and ovarian abscess fluid after surgery. Intravenous ampicillin/sulbactam was administered for 2 weeks, followed by oral amoxicillin for an additional 2 weeks. The postoperative course was uneventful and clinical findings improved. There was no evidence of relapse. can cause ovarian abscess and is likely an under-recognized pathogen.
是一种罕见的病原体,容易引发菌血症。已有多种感染病灶的报道;然而,英文文献中尚未有由 引起附件脓肿的病例报道。我们在此报告一例由 引起的卵巢脓肿病例。一名38岁未孕的日本女性因附件脓肿入住我院。临床症状包括发热、白细胞增多和C反应蛋白升高。实施了腹腔镜下右半侧卵巢切除术并进行腹腔灌洗。术后从血液和卵巢脓肿液培养物中分离出 。静脉注射氨苄西林/舒巴坦2周,随后口服阿莫西林再持续2周。术后病程顺利,临床症状改善。没有复发迹象。 可导致卵巢脓肿,很可能是一种未得到充分认识的病原体。