article = {SCR-2020-8-109}
title = {Non Typhoidal Salmonella Suppuration of Ovarian Cyst with Sclerosing Peritonitis: An old disease, A New Face}
journal = {Surgical Case Reports}
year = {2020}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2020.08.09}
url = {https://www.sciencerepository.org/non-typhoidal-salmonella-suppuration-of-ovarian-cyst-with-sclerosing-peritonitis_SCR-2020-8-109 
author = {Saroj  Rajan,HARITHA  SAGILI,Jayalakshmi  Durairaj,Avantika  Gupta,}
keywords = {Non typhoid Salmonella, ovarian cyst, ovarian abscess, sclerosing peritonitis}
abstract ={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.}