Tubo-ovarian abscess with sepsis in a nonagenarian woman: a case report and literature review
Abstract Background A complete infectious focus survey relies on a thorough physical examination as well as a pelvic examination. Tubo-ovarian abscess, though less likely to occur in senior women, may become a life-threatening disease requiring emergent surgery. Hence, clinical awareness and aggress...
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2019-06-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_74822c9b0d3049c9ab3051f40a66c110 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Kuan-Yi Chen |e author |
700 | 1 | 0 | |a Jen-Yu Tseng |e author |
700 | 1 | 0 | |a Chih-Yu Yang |e author |
245 | 0 | 0 | |a Tubo-ovarian abscess with sepsis in a nonagenarian woman: a case report and literature review |
260 | |b BMC, |c 2019-06-01T00:00:00Z. | ||
500 | |a 10.1186/s12905-019-0782-6 | ||
500 | |a 1472-6874 | ||
520 | |a Abstract Background A complete infectious focus survey relies on a thorough physical examination as well as a pelvic examination. Tubo-ovarian abscess, though less likely to occur in senior women, may become a life-threatening disease requiring emergent surgery. Hence, clinical awareness and aggressive management are warranted to avoid delayed diagnosis and subsequent complications. Case presentation We report a post-menopausal woman presented with sepsis of unknown origin, which turned out to be a huge tubo-ovarian abscess. Although tubo-ovarian abscess mostly occurs in women of fertile age, it is likely that the immune status of our post-menopausal patient was compromised because of old age and uremia. Moreover, due to underlying dementia, she could not express her discomfort in the early stage. Her sepsis resolved after a unilateral salpingo-oophorectomy surgery and antibiotic treatment. It is crucial to exclude pelvic inflammatory disease (PID) if no specific source of infection can be identified. Conclusions Rupture of the tubo-ovarian abscess is a condition of high mortality rate. Although tubo-ovarian abscess is more likely to develop in patients aged 15-25 years old, the tubo-ovarian abscess should be listed as a differential diagnosis in all post-menopausal women, especially those who are immunocompromised or with a palpable pelvic mass, to enable timely management and better prognosis. | ||
546 | |a EN | ||
690 | |a Fever of unknown origin | ||
690 | |a Tubo-ovarian abscess | ||
690 | |a Post-menopausal | ||
690 | |a Nonagenarian | ||
690 | |a Chronic kidney disease | ||
690 | |a Case report | ||
690 | |a Gynecology and obstetrics | ||
690 | |a RG1-991 | ||
690 | |a Public aspects of medicine | ||
690 | |a RA1-1270 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n BMC Women's Health, Vol 19, Iss 1, Pp 1-4 (2019) | |
787 | 0 | |n http://link.springer.com/article/10.1186/s12905-019-0782-6 | |
787 | 0 | |n https://doaj.org/toc/1472-6874 | |
856 | 4 | 1 | |u https://doaj.org/article/74822c9b0d3049c9ab3051f40a66c110 |z Connect to this object online. |