Case report
Post-partum, post-sterilization tubo-ovarian abscess caused by Fusobacterium necrophorum: a case report
1 Unit of Gynecologic Infectious Diseases and Female Sexually Transmitted Diseases, Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Arun-ammarin, Bangkok-Noi, Bangkok, 10700, Thailand
2 Department of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Arun-ammarin, Bangkok-Noi, Bangkok, 10700, Thailand
3 Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Arun-ammarin, Bangkok-Noi, Bangkok, 10700, Thailand
Journal of Medical Case Reports 2012, 6:330 doi:10.1186/1752-1947-6-330
Published: 2 October 2012Abstract
Introduction
Post-partum, post-sterilization tubo-ovarian abscess is a rare event. Fusobacterium necrophorum subspecies funduliforme, a normal flora found mainly in the oral cavity, appears to be the etiologic organism.
Case presentation
In this case report, a 25-year-old Thai woman had a post-partum, post-sterilization tubo-ovarian abscess caused by the strictly anaerobic bacterium, Fusobacterium necrophorum subspecies funduliforme. Progressively severe symptoms started 3 weeks after her third vaginal delivery with a tubal sterilization on the following day. On admission, she presented with peritonitis and impending shock. An exploratory laparotomy showed a ruptured left tubo-ovarian abscess. A segment of her ileum had to be resected because of severe inflammation.
Conclusions
Fusobacterium necrophorum subspecies funduliforme can be an etiologic organism of a ruptured tubo-ovarian abscess following tubal sterilization in a healthy host.
