IDCases (Jan 2019)

Ovarian abscess caused by Helicobacter cinaedi in a patient with endometriosis

  • Hiroshi Sato,
  • Atsuko Ogino,
  • Sunao Matsuzaka,
  • Yuna Asami,
  • Shota Kanbayashi,
  • Miho Masuda,
  • Ayaka Nakashima,
  • Miki Yasuda,
  • Hajime Morishita,
  • Yukiko Ando,
  • Kenji Oida,
  • Nao Taguchi,
  • Masaya Hirose

Journal volume & issue
Vol. 17

Abstract

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Helicobacter cinaedi is a rarely encountered pathogen that easily induces bacteremia. Various foci of H. cinaedi infection have been reported; however, no case of adnexal abscess caused by H. cinaedi has been reported in the English literature. We herein report a case of ovarian abscess caused by H. cinaedi.A 38-year-old nulligravid Japanese woman was admitted to our hospital with an adnexal abscess. Clinical findings included fever, leukocytosis, and elevated C-reactive protein. Laparoscopic right partial oophorectomy with abdominal lavage was performed. H. cinaedi was isolated from cultures of blood and ovarian abscess fluid after surgery. Intravenous ampicillin/sulbactam was administered for 2 weeks, followed by oral amoxicillin for an additional 2 weeks. The postoperative course was uneventful and clinical findings improved. There was no evidence of relapse. H. cinaedi can cause ovarian abscess and is likely an under-recognized pathogen. Keywords: Helicobacter, Laparoscopy, Ovary, Abscess, Endometriosis