Streptococcus constellatus Tubo-ovarian Abscess in a Non-Sexually Active Adolescent Female

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Tubo-ovarian abscess (TOA) in non-sexually active female adolescents is a rare presentation to the pediatric emergency department. In the following case, bilateral TOA secondary to Streptococcus constellatus was diagnosed in a 13-year-old virginal female. The patient was seen 4 months before presentation for interventional radiology-guided drainage and antibiotic treatment for an intra-abdominal abscess due to suspected appendiceal rupture. Exploratory laparotomy on the most recent presentation demonstrated an appendix with inflammation and serositis on pathology report, a concern for chronic appendicitis with microperforation and subsequent bacterial translocation of the bilateral ovaries. This case report identifies a rare cause, pathogen, and the patient's demographics presenting with bilateral TOA. Most importantly, this case demonstrates the need for emergency medicine physicians to have a high index of suspicion for TOA in patients with a significant medical history of intra-abdominal pathology to promptly diagnose and treat high-morbidity pathology.

Original languageEnglish (US)
Pages (from-to)e100-e101
JournalPediatric Emergency Care
Issue number6
StatePublished - Jun 1 2018


  • S Constellatus
  • Streptococcus constellatus
  • TOA
  • Tubo-Ovarian abscess
  • adolescent


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