Document Detail

Identification of Clostridium septicum in a tubo-ovarian abscess: a rare case and review of the literature.
MedLine Citation:
PMID:  25282789     Owner:  NLM     Status:  In-Process    
INTRODUCTION: Tubo-ovarian abscess (TOA) is a conglomerated mass of pelvic organs including the tube, the ovary, and the bowel. The most commonly isolated organisms from TOAs are Escherichia coli (E. coli) and Bacteroides species.
CASE REPORT: We reported a case of Clostridium septicum (C. septicum) infection from a ruptured TOA with atypical clinical features. Culture of intra-abdominal free fluid obtained during surgery yielded C. septicum. VITEK II (bioMérieux, France) automated system was used for advanced identification of the bacteria. Parenteral clindamycin in combination with an aminoglycoside was used. The patient was discharged 19 days after the surgery and was clinically asymptomatic 6 months after the surgery.
CONCLUSION: The differential diagnosis of TOA caused by C. septicum can be difficult, due to the lack of the symptoms. Tissues infected with C. septicum can become necrotic. A combination of early, adequate antibiotic therapy and surgery is the key point of the treatment.
Ali Yavuzcan; Mete Cağlar; Serdar Dilbaz; Selahattin Kumru; Fatma Avcioğlu; Yusuf Ustün
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vojnosanitetski pregled. Military-medical and pharmaceutical review     Volume:  71     ISSN:  0042-8450     ISO Abbreviation:  Vojnosanit Pregl     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-10-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  21530700R     Medline TA:  Vojnosanit Pregl     Country:  Serbia    
Other Details:
Languages:  eng     Pagination:  884-8     Citation Subset:  IM    
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