Document Detail

Urticaria associated with necrotic uterine leiomyomas infected with salmonella.
MedLine Citation:
PMID:  20664429     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We describe a unique case of urticaria associated with a Salmonella infection of uterine leiomyomas. CASE: A 55-year-old woman with a known history of uterine leiomyomas and a chief complaint of recurrent small and coalescing urticarial lesions confined to the abdomen presented with an 18-year history of recurrent fever and flu-like symptoms associated with the urticaria. After confirming the presence of a leiomyoma containing necrotic tissue on the computed tomography scan, a hysterectomy was performed. A large, 11-cm intramural leiomyoma was removed, and a culture of the purulent content grew a previously untyped Salmonella. The urticaria resolved on removal of the necrotic tissue. Subsequent follow-up for more than 2 years shows no relapse of symptoms. CONCLUSION: Our patient harbored Salmonella bacteria in a necrotic uterine leiomyoma, where it was difficult to detect until the time of surgery. In patients presenting with localized urticaria of the abdomen, an infection in the pelvic and abdominal tissue should be considered in the differential diagnosis.
Raffi Tachdjian; Louanne Tourangeau; Jessica Lynn Schneider; Andre Nel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  116 Suppl 2     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  491-3     Citation Subset:  AIM; IM    
Division of Clinical Immunology and Allergy, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
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MeSH Terms
Leiomyoma / microbiology*,  pathology*,  surgery
Middle Aged
Salmonella Infections / complications*
Uterine Neoplasms / microbiology*,  pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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