Septic shock caused by Fusobacterium necrophorum following sexual intercourse during recovery from infectious mononucleosis in an adolescent: a case report

Saki Tamura, Seung Chik Jwa, Norihito Tarumoto, Osamu Ishihara
Journal of Pediatric and Adolescent Gynecology 2020 June 26
32599171

BACKGROUND: Infectious mononucleosis (IM) develops following primary infection with Epstein-Barr virus. We report a case of septic shock in an adolescent from pelvic inflammatory disease caused by Fusobacterium necrophorum following sexual intercourse during recovery from IM.

CASE: A 17-year-old girl with a 7-day history of fever was diagnosed with IM. During follow-up, she developed lower abdominal pain and high fever following sexual intercourse and was transferred to our hospital. She was in shock and had a right ovarian abscess. Emergency laparotomy, drainage, and right adnexectomy were performed. F. necrophorum was subsequently detected in blood and abscess cultures.

SUMMARY AND CONCLUSION: This is the first reported case of severe PID caused by F. necrophorum in adolescents during recovery from IM.

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