Tubo-ovarian Abscess Caused by Streptococcus pneumoniae

ABSTRACT

Streptococcus pneumoniae has been known to cause pneumonia, meningitis, sinusitus, and otits media. S. pneumoniae is infrequent cause of infection in the female genital tract. We report a case of pneumococcal tubo-ovarian abscess in postmenopausal woman. A 71-year old woman was admitted, because of abdominal discomfort for six weeks. About 6 cm-sized mass located in left adnexal area was found. She underwent gynecologic surgery - total hysterectomy and both adnexectomy. The pathologic findings were consistent with bacterial tubo-ovarian abscess. S. pneumoniae serotype 23A was isolated from pus specimen. She was cured by operation and antibiotic therapy.