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  • Title: Ovarian abscess caused by nontyphoidal Salmonella in a woman with systemic lupus erythematosus: a case report.
    Author: Lin YH, Chen CP, Chiang S, Chen TC.
    Journal: J Reprod Med; 2005 Aug; 50(8):627-9. PubMed ID: 16220772.
    Abstract:
    BACKGROUND: Nontyphoidal Salmonella infection in a patient with systemic lupus erythematosus (SLE) is rare. CASE: A 24-year-old woman with a 9-year history of SLE, on corticosteroids, presented with severe abdominal pain, fever, vomiting and diarrhea for 1 day. Transabdominal sonography and abdominal computed tomography showed a right-sided well-defined pelvic mass. Laboratory study revealed leukocytosis. An emergency laparotomy revealed a right ovarian mass with purulent exudate. A right partial oophorectomy was performed. Pathologic examination revealed a hemorrhagic ovarian cyst with focal abscess. Culture of the ovarian mass grew Salmonella typhimurium. Postoperatively the patient did well and was discharged 5 days later. CONCLUSION: Patients with SLE are at risk of Salmonella infection. Gynecologists should be aware of the possibility of an ovarian abscess caused by Salmonella in such patients presenting with a pelvic mass and fever.
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