Abstract
BACKGROUND: Nontyphoidal Salmonella infection in a patient with systemic lupus erythematosus (SLE) is rare. CASE: A 24-year-old woman with a 9-year history of SLE, on corticosteroids, presented with severe abdominal pain, fever, vomiting and diarrhea for 1 day. Transabdominal sonography and abdominal computed tomography showed a right-sided well-defined pelvic mass. Laboratory study revealed leukocytosis. An emergency laparotomy revealed a right ovarian mass with purulent exudate. A right partial oophorectomy was performed. Pathologic examination revealed a hemorrhagic ovarian cyst with focal abscess. Culture of the ovarian mass grew Salmonella typhimurium. Postoperatively the patient did well and was discharged 5 days later. CONCLUSION: Patients with SLE are at risk of Salmonella infection. Gynecologists should be aware of the possibility of an ovarian abscess caused by Salmonella in such patients presenting with a pelvic mass and fever.
| Original language | English |
|---|---|
| Pages (from-to) | 627-629 |
| Number of pages | 3 |
| Journal | Journal of Reproductive Medicine for the Obstetrician and Gynecologist |
| Volume | 50 |
| Issue number | 8 |
| Publication status | Published - Aug 1 2005 |
| Externally published | Yes |
Keywords
- Ovarian diseases
- Salmonella typhimurium
- Systemic lupus erythematosus
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology
