A tubo-ovarian abscess in aplastic anemia presenting as fever of unknown origin

Authors

Rashi Mittal, AIIMS, Rishikesh, IndiaFollow
Saurabh Kumar Gautam, AIIMS, Rishikesh, IndiaFollow
Prasan Kumar Panda, AIIMS, Rishikesh, IndiaFollow
Latika Chawla, AIIMS, Rishikesh, IndiaFollow

Abstract

This report describes a complex case of a tubo-ovarian abscess (TOA) presenting atypically as fever of unknown origin (FUO) in a young woman initially diagnosed with severe aplastic anemia. The case involved protracted febrile illness, heavy menstrual bleeding, and pancytopenia. Identification of an Escherichia coli tubo-ovarian abscess, rather than tuberculosis, emphasized the need for a thorough evaluation in atypical presentations of TOA. Negative tuberculosis tests highlighted the variety of possible microbial etiologies. The resolution of fever following drainage and tailored antibiotic therapy, along with timely surgical intervention, demonstrated the importance of specific management strategies in such cases. Awareness of the diverse presentations of TOA such as FUO, especially in patients presumed to have other conditions like aplastic anemia, is crucial for appropriate diagnosis and treatment.

DOI

10.56808/2673-060X.5518

First Page

Title: A Tubo-Ovarian Abscess in Aplastic Anemia Presenting as Fever of Unknown Origin Short title: A Tubo-Ovarian Abscess in Aplastic Anemia Authors: 1Rashi Mittal, 1Saurabh Kumar Gautam, 1Prasan Kumar Panda, 2Latika Chawla Affiliations: 1Department of General Medicine (ID Division), and 2Obstetrics and Gynecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India Corresponding author Prasan Kumar Panda Professor (Additional), Dept. of General Medicine, Sixth Floor, College Block, All India Institute of Medical Sciences (AIIMS), Rishikesh, India, 249203 Mob: +91-9868999488 Email: motherprasanna@rediffmail.com

Recommended Citation

Mittal, Rashi; Gautam, Saurabh Kumar; Panda, Prasan Kumar; and Chawla, Latika (2025) "A tubo-ovarian abscess in aplastic anemia presenting as fever of unknown origin," Chulalongkorn Medical Journal: Vol. 69: Iss. 3, Article 7.
DOI: https://doi.org/10.56808/2673-060X.5518
Available at: https://digital.car.chula.ac.th/clmjournal/vol69/iss3/7