Tubo-ovarian Abscess Caused by Streptococcus pneumoniae / 감염과화학요법

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.