Non Typhoidal Salmonella Suppuration of Ovarian Cyst with Sclerosing Peritonitis: An old disease, A New Face

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Author Info

Saroj Rajan HARITHA SAGILI Jayalakshmi Durairaj Avantika Gupta

Corresponding Author

Saroj Rajan
Senior Resident, Department of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India

A B S T R A C T

Invasive non-typhoidal Salmonella is an emerging problem in developing regions like Africa and Asia. Infection of ovarian cysts by typhoid bacilli is a complication dating to the 1800s and is rare in the postantibiotic era. A diabetic, hypertensive post-menopausal lady, our patient presented with a large paraovarian cyst infected the Salmonella group B bacillus. The infection is likely transmitted hematogenously or by the surrounding adherent bowel and omentum. Interestingly, our patient developed sclerosing peritonitis and osseous metaplasia of the rectus sheath as well, possibly a peritoneal inflammation to a disseminated infection. Compounded by her diabetes, the ossified rectus healed poorly, leading to burst abdomen in the post-operative period. Hence, our patient presented with a rare manifestation of an emerging disease. A depressed immune status, influenced by her comorbidities, and the lack of sanitation in pockets of South Asia may have led to a reappearance of these once historic complications of typhoid.

Article Info

Article Type

Case Report

Publication history

Received: Fri 17, Jul 2020
Accepted: Wed 29, Jul 2020
Published: Mon 10, Aug 2020

Copyright

© 2023 Saroj Rajan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.08.09