Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature
Introduction. Tubo-ovarian abscess (TOA) is a conglomerated mass of pelvic organs including tube, ovary, and 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)...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2014-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501400038Y.pdf |
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| author | Yavuzcan Ali Çağlar Mete Dilbaz Serdar Kumru Selahattin Avcıoğlu Fatma Üstün Yusuf |
| author_facet | Yavuzcan Ali Çağlar Mete Dilbaz Serdar Kumru Selahattin Avcıoğlu Fatma Üstün Yusuf |
| author_sort | Yavuzcan Ali |
| collection | DOAJ |
| description | Introduction. Tubo-ovarian abscess (TOA) is a conglomerated mass of pelvic
organs including tube, ovary, and 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. |
| format | Article |
| id | doaj-art-d4a90fd57d184b81adb304dbfa82ec0f |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-d4a90fd57d184b81adb304dbfa82ec0f2025-08-20T03:25:12ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502014-01-0171988488810.2298/VSP130406038Y0042-84501400038YIdentification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literatureYavuzcan Ali0Çağlar Mete1Dilbaz Serdar2Kumru Selahattin3Avcıoğlu Fatma4Üstün Yusuf5Düzce University Faculty of Medicine, Department of Obstetrics and Gynecology, Düzce, TurkeyDüzce University Faculty of Medicine, Department of Obstetrics and Gynecology, Düzce, TurkeyDüzce University Faculty of Medicine, Department of Obstetrics and Gynecology, Düzce, TurkeyDüzce University Faculty of Medicine, Department of Obstetrics and Gynecology, Düzce, TurkeyDüzce University Faculty of Medicine, Department of Microbiology, Düzce, TurkeyDüzce University Faculty of Medicine, Department of Obstetrics and Gynecology, Düzce, TurkeyIntroduction. Tubo-ovarian abscess (TOA) is a conglomerated mass of pelvic organs including tube, ovary, and 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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501400038Y.pdfpelvic inflammatory diseaseabscessruptureclostridium septicumgynecologic surgical procedures |
| spellingShingle | Yavuzcan Ali Çağlar Mete Dilbaz Serdar Kumru Selahattin Avcıoğlu Fatma Üstün Yusuf Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature Vojnosanitetski Pregled pelvic inflammatory disease abscess rupture clostridium septicum gynecologic surgical procedures |
| title | Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature |
| title_full | Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature |
| title_fullStr | Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature |
| title_full_unstemmed | Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature |
| title_short | Identification of Clostridium septicum in a tubo-ovarian abscess: A rare case and review of the literature |
| title_sort | identification of clostridium septicum in a tubo ovarian abscess a rare case and review of the literature |
| topic | pelvic inflammatory disease abscess rupture clostridium septicum gynecologic surgical procedures |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501400038Y.pdf |
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