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Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess

We present a case of a 30-year-old Hispanic male with pelvic outlet obstruction syndrome secondary to a large pelvic abscess caused by Salmonella enterica Bovismorbificans. This case demonstrates a potentially serious complication of a rare foodborne illness in the United States, in which an urgent...

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Autores principales: Scanlan, Riley A, Kramme, Katherine E, Nava, Kristofer E, Manawar, Shaan, Shebrain, Saad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898375/
https://www.ncbi.nlm.nih.gov/pubmed/33633894
http://dx.doi.org/10.7759/cureus.12865
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author Scanlan, Riley A
Kramme, Katherine E
Nava, Kristofer E
Manawar, Shaan
Shebrain, Saad
author_facet Scanlan, Riley A
Kramme, Katherine E
Nava, Kristofer E
Manawar, Shaan
Shebrain, Saad
author_sort Scanlan, Riley A
collection PubMed
description We present a case of a 30-year-old Hispanic male with pelvic outlet obstruction syndrome secondary to a large pelvic abscess caused by Salmonella enterica Bovismorbificans. This case demonstrates a potentially serious complication of a rare foodborne illness in the United States, in which an urgent surgical intervention was warranted. A computed tomography (CT) scan of the abdomen and pelvis demonstrated a large pelvic cystic mass causing near-total pelvic outlet obstruction of both gastrointestinal and genitourinary systems. A total of 1,250 mg of IV vancomycin and 3.375 mg of IV piperacillin-tazobactam were administered every eight hours, and an urgent decompressive transverse loop colostomy, Foley catheter placement, and percutaneous drainage were performed. Culture of the abscess fluid identified Salmonella enterica serotype Bovismorbificans, and the antibiotic regimen was changed to 1,000 mg IV ceftriaxone every 24 hours. Subsequent CT imaging displayed a reduction in abscess size. The patient was then discharged with a 14-day course of 500 mg of oral ciprofloxacin every 12 hours and 500 mg of oral metronidazole every eight hours. Imaging at three weeks post-discharge displayed resolution of the abscess, and the drain was removed. The patient had complete recovery and did well several months following treatment. While rare, Salmonella enterica serotype Bovismorbificans could potentially lead to serious complications such as giant pelvic abscess, in which a multidisciplinary team approach (i.e., medical, surgical, and interventional) is critical for a good outcome.
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spelling pubmed-78983752021-02-24 Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess Scanlan, Riley A Kramme, Katherine E Nava, Kristofer E Manawar, Shaan Shebrain, Saad Cureus Internal Medicine We present a case of a 30-year-old Hispanic male with pelvic outlet obstruction syndrome secondary to a large pelvic abscess caused by Salmonella enterica Bovismorbificans. This case demonstrates a potentially serious complication of a rare foodborne illness in the United States, in which an urgent surgical intervention was warranted. A computed tomography (CT) scan of the abdomen and pelvis demonstrated a large pelvic cystic mass causing near-total pelvic outlet obstruction of both gastrointestinal and genitourinary systems. A total of 1,250 mg of IV vancomycin and 3.375 mg of IV piperacillin-tazobactam were administered every eight hours, and an urgent decompressive transverse loop colostomy, Foley catheter placement, and percutaneous drainage were performed. Culture of the abscess fluid identified Salmonella enterica serotype Bovismorbificans, and the antibiotic regimen was changed to 1,000 mg IV ceftriaxone every 24 hours. Subsequent CT imaging displayed a reduction in abscess size. The patient was then discharged with a 14-day course of 500 mg of oral ciprofloxacin every 12 hours and 500 mg of oral metronidazole every eight hours. Imaging at three weeks post-discharge displayed resolution of the abscess, and the drain was removed. The patient had complete recovery and did well several months following treatment. While rare, Salmonella enterica serotype Bovismorbificans could potentially lead to serious complications such as giant pelvic abscess, in which a multidisciplinary team approach (i.e., medical, surgical, and interventional) is critical for a good outcome. Cureus 2021-01-22 /pmc/articles/PMC7898375/ /pubmed/33633894 http://dx.doi.org/10.7759/cureus.12865 Text en Copyright © 2021, Scanlan et al. http://creativecommons.org/licenses/by/3.0/ 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.
spellingShingle Internal Medicine
Scanlan, Riley A
Kramme, Katherine E
Nava, Kristofer E
Manawar, Shaan
Shebrain, Saad
Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
title Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
title_full Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
title_fullStr Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
title_full_unstemmed Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
title_short Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
title_sort pelvic outlet obstruction secondary to salmonella enterica serovar bovismorbificans abscess
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898375/
https://www.ncbi.nlm.nih.gov/pubmed/33633894
http://dx.doi.org/10.7759/cureus.12865
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