{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:30:34Z","timestamp":1789587034773,"version":"build-2803163510"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Tubo-ovarian abscess (TOA) in non\u2013sexually active female adolescents is a rare presentation to the pediatric emergency department. In the following case, bilateral TOA secondary to <jats:italic toggle=\"yes\">Streptococcus constellatus<\/jats:italic> 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.<\/jats:p>","DOI":"10.1097\/pec.0000000000000753","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T12:11:51Z","timestamp":1464955911000},"page":"e100-e101","source":"Crossref","is-referenced-by-count":13,"title":["Streptococcus constellatus Tubo-ovarian Abscess in a Non\u2013Sexually Active Adolescent Female"],"prefix":"10.1097","volume":"34","author":[{"given":"David","family":"Mills","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bazak","family":"Sharon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1016\/j.jpag.2008.03.006","article-title":"Tubo-ovarian abscess in virginal adolescents: exposure of the underlying etiology","volume":"22","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"e99","DOI":"10.1016\/j.jpag.2013.02.004","article-title":"Tubo-ovarian abscess in virginal adolescent females: a case report and review of the literature","volume":"26","year":"2013","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1111\/j.1442-200X.2012.03569.x","article-title":"Streptococcus viridans tubo-ovarian abscess in an adolescent virgin","volume":"54","year":"2012","journal-title":"Pediatr Int"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1128\/jcm.30.1.243-244.1992","article-title":"Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (the Streptococcus milleri group): association with different body sites and clinical infections","volume":"30","year":"1992","journal-title":"J Clin Microbiol"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1093\/clinids\/10.2.257","article-title":"Occurrence and pathogenicity of the Streptococcus milleri group","volume":"10","year":"1988","journal-title":"Rev Infect Dis"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"1511","DOI":"10.1086\/320163","article-title":"Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (\"Streptococcus milleri group\") are of different clinical importance and are not equally associated with abscess","volume":"32","year":"2001","journal-title":"Clin Infect Dis"},{"key":"bib7-20230930","first-page":"91","article-title":"Tubo-ovarian abscess in an adolescent virgin female","volume":"153","year":"1999","journal-title":"Arch Pediatr Adolesc Med"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201806000-00019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:09:24Z","timestamp":1696061364000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201806000-00019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000753","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2018,6]]}}}