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Tubo-ovarian abscess infected by Salmonella typhi

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Sharma, Paban, Bhuju, Abhusani, Tuladhar, Ruhee, Parry, Christopher and Basnyat, Buddha (2017) 'Tubo-ovarian abscess infected by Salmonella typhi'. BMJ Case Reports, Vol 2017.

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Abstract

We report a case of a tubo-ovarian abscess infected with Salmonella enterica serotype typhi A 19-year-old Nepalese woman presented to a hospital in Kathmandu with lower abdominal pain, constipation, fever and a non-healing, suppurative surgical wound from an emergency caesarian section performed 2 months previously at 37 weeks of pregnancy. She also had an exploratory laparotomy for an appendix perforation with peritonitis at 25 weeks of gestation. Her wound infection did not respond to cloxacillin and she had an exploratory laparotomy, and a tubo-ovarian abscess was found from which S. typhi was isolated. She had a bilateral salpingo-oophorectomy and responded to 14 days of chloramphenicol. A tubo-ovarian abscess is a rare complication of enteric fever. [Abstract copyright: © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.]

Item Type: Article
Uncontrolled Keywords: gynaecology and fertility, infectious diseases, obstetrics, tropical medicine (infectious disease)
Subjects: WC Communicable Diseases > Infection. Bacterial Infections > Enteric Infections > WC 269 Salmonella infections
WC Communicable Diseases > Infection. Bacterial Infections > Enteric Infections > WC 270 Typhoid fever
WI Digestive System > WI 100 General works
WP Gynecology > WP 100 General works
WP Gynecology > Anatomy. Diseases. Injuries > WP 140 Diseases (General)
WP Gynecology > WP 20 Research (General)
WP Gynecology > Anatomy. Diseases. Injuries > WP 400 General works
WQ Obstetrics > WQ 500 Postnatal care
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1136/bcr-2017-221213
SWORD Depositor: JISC Pubrouter
Depositing User: Stacy Murtagh
Date Deposited: 20 Sep 2017 15:06
Last Modified: 03 Oct 2017 14:57
URI: http://archive.lstmed.ac.uk/id/eprint/7556

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