Bilateral ovarian abscesses due to Salmonella Paratyphi A in a patient with endometriosis in Southern India: a diagnostic dilemma

Maanasa Bhaskar, Ankita Mohanty, Sistla S, Sujatha Sistla, Papa Dasari
BMJ case reports · 2025 · vol. 18(4) , pp. e263173 · doi:10.1136/bcr-2024-263173 · PMID:40204500 · W4409287582
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This report details a rare case of bilateral ovarian abscesses caused by Salmonella Paratyphi A in a woman with endometriosis, highlighting diagnostic challenges and reviewing literature on Salmonella-induced ovarian abscesses.

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Abstract

Enteric fever is a multisystem febrile illness caused by Salmonella enterica subspecies enterica serovar Typhi, Paratyphi A, B and C. It is usually transmitted through contaminated food and water. The disease usually manifests as a febrile illness with bacteraemia after the initial entry through the gastrointestinal tract. However, extraintestinal seeding of this pathogen can occur in rare instances. Here, we report a case of chocolate cysts of the ovaries which was infected with Salmonella Paratyphi A in a sexually active woman with a previous history of enteric fever that was neglected. We review the key features of this case and the last literature on ovarian abscess due to Salmonella sp.
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Article Text Abstract Enteric fever is a multisystem febrile illness caused by Salmonella enterica subspecies enterica serovar Typhi, Paratyphi A, B and C. It is usually transmitted through contaminated food and water. The disease usually manifests as a febrile illness with bacteraemia after the initial entry through the gastrointestinal tract. However, extraintestinal seeding of this pathogen can occur in rare instances. Here, we report a case of chocolate cysts of the ovaries which was infected with Salmonella Paratyphi A in a sexually active woman with a previous history of enteric fever that was neglected. We review the key features of this case and the last literature on ovarian abscess due to Salmonella sp. - Salmonella - Obstetrics, gynaecology and fertility Statistics from Altmetric.com Footnotes Contributors The following authors were responsible for drafting the text, sourcing and editing of clinical images, investigating results, drawing original diagrams and algorithms, and for critical revision of important intellectual content: MB and AM. The following authors gave the final approval of the manuscript: SS and PD. Corresponding author and guarantor: SS. Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy. Competing interests None declared. Provenance and peer review Not commissioned; externally peer reviewed. Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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Condition tags

endometriosis

MeSH descriptors

Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

References (27)

SciLite annotations

organisms 7
salmonella mav-a1 strain lt2 strain lt2 salmonella mav-a1 salmonella
chemicals 1
water

Source provenance

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