{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:59Z","timestamp":1756339439242,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,19]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Enteric fever is a multisystem febrile illness caused by <jats:italic>Salmonella enterica<\/jats:italic> subspecies <jats:italic>enterica<\/jats:italic> serovar Typhi, Paratyphi A, B and C. It is usually transmitted through contaminated food and water. The disease usually manifests as a febrile illness with bacteraemia after the initial entry through the gastrointestinal tract. However, extraintestinal seeding of this pathogen can occur in rare instances. Here, we report a case of chocolate cysts of the ovaries which was infected with <jats:italic>Salmonella<\/jats:italic> Paratyphi A in a sexually active woman with a previous history of enteric fever that was neglected. We review the key features of this case and the last literature on ovarian abscess due to <jats:italic>Salmonella<\/jats:italic> sp.<\/jats:p>","DOI":"10.1136\/bcr-2024-263173","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T20:50:17Z","timestamp":1744231817000},"page":"e263173","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral ovarian abscesses due to <i>Salmonella<\/i> Paratyphi A in a patient with endometriosis in Southern India: a diagnostic dilemma"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6201-5801","authenticated-orcid":false,"given":"Maanasa","family":"Bhaskar","sequence":"first","affiliation":[{"name":"Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7927-8694","authenticated-orcid":false,"given":"Ankita","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujatha","family":"Sistla","sequence":"additional","affiliation":[{"name":"Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1022-2750","authenticated-orcid":false,"given":"Papa","family":"Dasari","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"key":"2025082703563010000_18.4.e263173.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2020.10.030"},{"key":"2025082703563010000_18.4.e263173.2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1080\/21553769.2015.1051243","article-title":"Salmonella: A review on pathogenesis, epidemiology and antibiotic resistance","volume":"8","author":"Eng","year":"2015","journal-title":"Front Life Sci"},{"key":"2025082703563010000_18.4.e263173.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70138-9"},{"key":"2025082703563010000_18.4.e263173.4","first-page":"3581091","article-title":"Bali Belly: Salmonella senftenberg Found in an Infected Ovarian Endometrioma","volume":"2020","author":"Pathiraja","year":"2020","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082703563010000_18.4.e263173.5","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4103\/GMIT.GMIT_92_20","article-title":"Diagnostic Laparoscopy for Ovarian Tumor Due to Salmonella Infection","volume":"11","author":"Tanaka","year":"2022","journal-title":"Gynecol Minim Invasive Ther"},{"key":"2025082703563010000_18.4.e263173.6","doi-asserted-by":"crossref","DOI":"10.1016\/j.idcr.2021.e01068","article-title":"Salmonella stanley ovarian abscess with endometrioma in a pregnant woman in the third trimester","volume":"24","author":"Toyoshima","year":"2021","journal-title":"IDCases"},{"key":"2025082703563010000_18.4.e263173.7","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1186\/s13256-019-2229-y","article-title":"Ovarian abscess caused by Salmonella enterica serovar Typhi: a case report","volume":"13","author":"Getahun S.","year":"2019","journal-title":"J Med Case Reports"},{"key":"2025082703563010000_18.4.e263173.8","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s13224-014-0566-8","article-title":"A Case of Salmonella enterica Serovar Typhi Tubo Ovarian Abscess","volume":"65","author":"Selvam","year":"2015","journal-title":"J Obstet Gynaecol India"},{"key":"2025082703563010000_18.4.e263173.9","doi-asserted-by":"crossref","unstructured":"Sharma P , Bhuju A , Tuladhar R , et al . Tubo-ovarian abscess infected by Salmonella typhi. Case Rep 2017;2017. doi:10.1136\/bcr-2017-221213","DOI":"10.1136\/bcr-2017-221213"},{"key":"2025082703563010000_18.4.e263173.10","doi-asserted-by":"crossref","first-page":"465","DOI":"10.12891\/ceog16952014","article-title":"Salmonella ovarian abscess in a patient with rheumatoid arthritis (RA): a case report with literature review","volume":"41","author":"Inoue","year":"2014","journal-title":"Clin Exp Obstet Gynecol"},{"key":"2025082703563010000_18.4.e263173.11","doi-asserted-by":"crossref","unstructured":"Guler S , Oksuz H , Cetin GY , et al . Bilateral tubo-ovarian abscess and sepsis caused by Salmonella in patients with systemic lupus erythematosus. 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