Streptococcus viridans tubo-ovarian abscess in an adolescent virgin

Lashondria Simpson-Camp, Elizabeth Jane Richardson, Samuel M. Alaish

Research output: Contribution to journalArticle

Abstract

A tubo-ovarian abscess (TOA) is a common complication of pelvic inflammatory disease in premenopausal women; however, in virginal females, TOAs are an exceedingly rare occurrence. Within this rare subset of patients, there is almost always an underlying condition, such as vaginal voiding, or a concomitant disease process. A virginal adolescent female with no prior medical history presented with a large pelvic mass which proved to be a TOA. An exploratory laparotomy was eventually required to establish the diagnosis. Open drainage and antibiotic therapy successfully treated the patient. With only the organism, Streptococcus viridians, isolated in her cultures, an etiology of direct ascension from the lower genitourinary tract is implicated. We believe this to be the youngest case of a TOA occurring in a virginal adolescent female without a predisposing condition. A TOA should be considered in the differential diagnosis of pelvic masses in previously healthy pediatric patients regardless of their sexual activity.

Original languageEnglish (US)
Pages (from-to)706-709
Number of pages4
JournalPediatrics International
Volume54
Issue number5
DOIs
StatePublished - Oct 2012
Externally publishedYes

Fingerprint

Viridans Streptococci
Abscess
Pelvic Inflammatory Disease
Streptococcus
Sexual Behavior
Laparotomy
Drainage
Differential Diagnosis
Pediatrics
Anti-Bacterial Agents

Keywords

  • abdominal mass
  • abscess
  • adolescent sexual behavior
  • streptococcal infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Streptococcus viridans tubo-ovarian abscess in an adolescent virgin. / Simpson-Camp, Lashondria; Richardson, Elizabeth Jane; Alaish, Samuel M.

In: Pediatrics International, Vol. 54, No. 5, 10.2012, p. 706-709.

Research output: Contribution to journalArticle

Simpson-Camp, Lashondria ; Richardson, Elizabeth Jane ; Alaish, Samuel M. / Streptococcus viridans tubo-ovarian abscess in an adolescent virgin. In: Pediatrics International. 2012 ; Vol. 54, No. 5. pp. 706-709.
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