Journal of Pediatric and Adolescent Gynecology ( IF 1.7 ) Pub Date : 2020-06-26 , DOI: 10.1016/j.jpag.2020.06.018 Saki Tamura 1 , Seung Chik Jwa 1 , Norihito Tarumoto 2 , Osamu Ishihara 1
Background
Infectious mononucleosis (IM) develops after primary infection with Epstein-Barr virus. We report a case of septic shock from pelvic inflammatory disease caused by Fusobacterium necrophorum in an adolescent after sexual intercourse during recovery from IM.
Case
A 17-year-old girl with a 7-day history of fever was diagnosed with IM. During follow-up, she developed lower abdominal pain and high fever after sexual intercourse and was transferred to our hospital. She was in shock and had a right ovarian abscess. Emergency laparotomy, drainage, and right adnexectomy were performed. F necrophorum was subsequently detected in blood and abscess cultures.
中文翻译:
青少年感染性单核细胞增多症恢复期间性交后坏死杆菌引起的败血性休克:一例病例报告。
背景
传染性单核细胞增多症(IM)在爱泼斯坦-巴尔病毒的初次感染后发展。我们报告了一例由阴茎融合杆菌引起的盆腔炎性疾病引起的败血性休克的病例,该患者在从IM恢复的性交后的青春期中。
案件
一名发烧7天的17岁女孩被诊断患有IM。随访期间,她在性交后出现下腹部疼痛和高烧,并被转移到我们医院。她惊呆了,右卵巢脓肿。进行了紧急剖腹术,引流术和右附件切除术。随后在血液和脓肿培养物中检测到了死灵。