Abstract
Abstract Background: Female genital-tract infection is not uncommon. However, a tubo-ovarian abscess (TOA) secondary to Streptococcus pneumoniae is extremely rare. Case: A 46-year-old, para 3, woman presented with a 2-week history of lower abdominal pain and constipation. Assessment showed the presence of a right adnexal mass and free fluid in the pouch of Douglas. Thus, a decision was made to perform a diagnostic laparoscopy, with a working diagnosis of an ovarian cyst accident. Intraoperatively, a right TOA was found and drainage was performed. The pus culture grew out S. pneumoniae. Results: Postoperatively, this patient completed a 14-day course of broad-spectrum antibiotics and recovered well. Sexually transmitted infection screenings were nonreactive. She has remained well with no recurrence of S. pneumoniae observed during follow-up. Conclusions: This case demonstrated the diagnostic challenges involved in detecting and treating a TOA with S. pneumoniae. Management of such a rare infection was revi...
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