Tubo-ovarian abscess caused by multidrug resistant bacteroides gracilis

Wen Liang Yu, Whai Y. Chen

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Bacteroides gracilis infections are very rare and have always been reported to have a polymicrobial etiology. The majority of these infections occur in the head and neck areas, the pleuropulmonary system, and the abdominal cavity. We report a case of tubo-ovarian abscess caused by B. gracilis. A literature search revealed no previous reports. Our patient, a 29-year-fold woman, experienced fever and lower abdominal pain caused by a tubo-ovarian abscess. Her treatment consisted of surgical drainage and prolonged intravenous antibiotic therapy. Initial therapy with cefotaxime and metronidazole failed and she remained febrile after the laparotomy. Her clinical condition improved slowly after initiation of imipenem therapy. Culture of a pus specimen obtained during surgery yielded B. gracilis, which was resistant to imipenem but susceptible to clindamycin. Combination therapy with imipenem and clindamycin was then administered and she recovered completely. Clindamycin was subsequently prescribed for long-term bacterial suppression. The potential difficulties in treating B. gracilis infections were a major clinical concern in the treatment of this patient.

Original languageEnglish
Pages (from-to)457-460
Number of pages4
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume96
Issue number6
Publication statusPublished - Jun 1997
Externally publishedYes

Keywords

  • Antimicrobial therapy
  • Bacteroides gracilis
  • Tubo-ovarian abscess

ASJC Scopus subject areas

  • Medicine(all)

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