Salmonella infection of ovarian dermoid cyst.
نویسندگان
چکیده
A 19-year-old girl was admitted with a 10-day history of fever, vomiting and abdominal pain together with swelling of the lower abdomen for the past 24 hours. On admission she was toxic, -with fever of 39 4°C. Her haemoglobin was 4-3 g/dl and the W.B.C. 42X 109/1. A large, rounded, smooth pelvic mass of cystic consistency and reaching almost to the umbilicus was felt on examination. On vaginal examination the mass filled the pouch of Douglas, and aspiration produced purulent fluid. A diagnosis of pelvic abscess was made and vaginal drainage was established. Salmonella paratyphi A were cultured from the discharge and from the blood. Stool and urine cultures were negative. The Widal reaction was positive to a titre of 1/320 for both 0 and H antigens of S. paratyphi A. The response to chloramphenicol was good and the fever subsided, but after 10 days the temperature again rose and the patient complained of lower pelvic pain and swelling, despite the drainage. At laparotomy a left ovarian cyst was found and was removed. S. paratyphi A was cultured from the contents, and the histopathology of the tumour was that of a dermoid cyst containing a mass of hair. The patient was discharged in good condition 15 days after operation. Six weeks later she was readmitted in coma and severely jaundiced. A diagnosis of homologous serum jaundice was made. After three days she regained consciousness and was discharged in good health a month later.
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عنوان ژورنال:
- British medical journal
دوره 3 5976 شماره
صفحات -
تاریخ انتشار 1975