Tubo-ovarian abscess with Morganella morganii bacteremia

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

研究成果: 雜誌貢獻文章同行評審

4 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)357-359
頁數3
期刊Journal of Microbiology, Immunology and Infection
42
發行號4
出版狀態已發佈 - 八月 2009
對外發佈

ASJC Scopus subject areas

  • 免疫學與微生物學 (全部)
  • 免疫學和過敏
  • 傳染性疾病
  • 微生物學(醫學)

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