Tubo-ovarian abscess with Morganella morganii bacteremia

Yen Y. Chou, Sheng Kang Chiu, Hung Cheng Lai, Feng Y. Chang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Tubo-ovarian abscess caused by Morganella marganii is unusual. A 54-year-old menopausal woman visited the emergency room with lower abdominal pain, vomiting, and fever for 4 days. Pelvic examination revealed lifting tenderness over the right adnexum without motion tenderness of the uterus. Pelvic sonogram revealed a cystic lesion with heterogeneous content in the right ovary. Salpingo-oophoritis was suspected. Clindamycin and gentamicin were administered intravenously after obtaining blood cultures. Laparoscopy was done because of sustained fever, and an ovarian abscess was found. Laparoscopic salpingo-oophorectomy was performed. The patient was discharged 5 days later and oral clindamycin was prescribed. However, she was readmitted due to intermittent fever. The result of blood culture obtained before surgery disclosed M. morganii, which was resistant to clindamycin and cefazolin. Her symptoms resolved after administration of intravenous flomoxef. This report highlight the fact that antimicrobial resistance of M. morganii may complicate the management and outcome of this infection.

Original languageEnglish
Pages (from-to)357-359
Number of pages3
JournalJournal of Microbiology, Immunology and Infection
Volume42
Issue number4
Publication statusPublished - Aug 2009
Externally publishedYes

Fingerprint

Morganella morganii
Clindamycin
Bacteremia
Abscess
Fever
Morganella
Oophoritis
Cefazolin
Gynecological Examination
Ovariectomy
Gentamicins
Intravenous Administration
Laparoscopy
Abdominal Pain
Uterus
Vomiting
Hospital Emergency Service
Ovary
Infection
Blood Culture

Keywords

  • Abscess
  • Bacteremia
  • Drug resistance, microbial
  • Morganella morganii

ASJC Scopus subject areas

  • Immunology and Microbiology(all)
  • Immunology and Allergy
  • Infectious Diseases
  • Microbiology (medical)

Cite this

Tubo-ovarian abscess with Morganella morganii bacteremia. / Chou, Yen Y.; Chiu, Sheng Kang; Lai, Hung Cheng; Chang, Feng Y.

In: Journal of Microbiology, Immunology and Infection, Vol. 42, No. 4, 08.2009, p. 357-359.

Research output: Contribution to journalArticle

Chou, Yen Y. ; Chiu, Sheng Kang ; Lai, Hung Cheng ; Chang, Feng Y. / Tubo-ovarian abscess with Morganella morganii bacteremia. In: Journal of Microbiology, Immunology and Infection. 2009 ; Vol. 42, No. 4. pp. 357-359.
@article{009c3c6c82ed4f7bbbff8714382906c4,
title = "Tubo-ovarian abscess with Morganella morganii bacteremia",
abstract = "Tubo-ovarian abscess caused by Morganella marganii is unusual. A 54-year-old menopausal woman visited the emergency room with lower abdominal pain, vomiting, and fever for 4 days. Pelvic examination revealed lifting tenderness over the right adnexum without motion tenderness of the uterus. Pelvic sonogram revealed a cystic lesion with heterogeneous content in the right ovary. Salpingo-oophoritis was suspected. Clindamycin and gentamicin were administered intravenously after obtaining blood cultures. Laparoscopy was done because of sustained fever, and an ovarian abscess was found. Laparoscopic salpingo-oophorectomy was performed. The patient was discharged 5 days later and oral clindamycin was prescribed. However, she was readmitted due to intermittent fever. The result of blood culture obtained before surgery disclosed M. morganii, which was resistant to clindamycin and cefazolin. Her symptoms resolved after administration of intravenous flomoxef. This report highlight the fact that antimicrobial resistance of M. morganii may complicate the management and outcome of this infection.",
keywords = "Abscess, Bacteremia, Drug resistance, microbial, Morganella morganii",
author = "Chou, {Yen Y.} and Chiu, {Sheng Kang} and Lai, {Hung Cheng} and Chang, {Feng Y.}",
year = "2009",
month = "8",
language = "English",
volume = "42",
pages = "357--359",
journal = "Journal of Microbiology, Immunology and Infection",
issn = "0253-2662",
publisher = "Elsevier Taiwan LLC",
number = "4",

}

TY - JOUR

T1 - Tubo-ovarian abscess with Morganella morganii bacteremia

AU - Chou, Yen Y.

AU - Chiu, Sheng Kang

AU - Lai, Hung Cheng

AU - Chang, Feng Y.

PY - 2009/8

Y1 - 2009/8

N2 - Tubo-ovarian abscess caused by Morganella marganii is unusual. A 54-year-old menopausal woman visited the emergency room with lower abdominal pain, vomiting, and fever for 4 days. Pelvic examination revealed lifting tenderness over the right adnexum without motion tenderness of the uterus. Pelvic sonogram revealed a cystic lesion with heterogeneous content in the right ovary. Salpingo-oophoritis was suspected. Clindamycin and gentamicin were administered intravenously after obtaining blood cultures. Laparoscopy was done because of sustained fever, and an ovarian abscess was found. Laparoscopic salpingo-oophorectomy was performed. The patient was discharged 5 days later and oral clindamycin was prescribed. However, she was readmitted due to intermittent fever. The result of blood culture obtained before surgery disclosed M. morganii, which was resistant to clindamycin and cefazolin. Her symptoms resolved after administration of intravenous flomoxef. This report highlight the fact that antimicrobial resistance of M. morganii may complicate the management and outcome of this infection.

AB - Tubo-ovarian abscess caused by Morganella marganii is unusual. A 54-year-old menopausal woman visited the emergency room with lower abdominal pain, vomiting, and fever for 4 days. Pelvic examination revealed lifting tenderness over the right adnexum without motion tenderness of the uterus. Pelvic sonogram revealed a cystic lesion with heterogeneous content in the right ovary. Salpingo-oophoritis was suspected. Clindamycin and gentamicin were administered intravenously after obtaining blood cultures. Laparoscopy was done because of sustained fever, and an ovarian abscess was found. Laparoscopic salpingo-oophorectomy was performed. The patient was discharged 5 days later and oral clindamycin was prescribed. However, she was readmitted due to intermittent fever. The result of blood culture obtained before surgery disclosed M. morganii, which was resistant to clindamycin and cefazolin. Her symptoms resolved after administration of intravenous flomoxef. This report highlight the fact that antimicrobial resistance of M. morganii may complicate the management and outcome of this infection.

KW - Abscess

KW - Bacteremia

KW - Drug resistance, microbial

KW - Morganella morganii

UR - http://www.scopus.com/inward/record.url?scp=74849114013&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=74849114013&partnerID=8YFLogxK

M3 - Article

C2 - 19949761

AN - SCOPUS:74849114013

VL - 42

SP - 357

EP - 359

JO - Journal of Microbiology, Immunology and Infection

JF - Journal of Microbiology, Immunology and Infection

SN - 0253-2662

IS - 4

ER -