Bilateral tubo-ovarian abscess and sepsis caused by Salmonella in patients with systemic lupus erythematosus.

A 39-year-old woman was admitted to the emergency department due to abdominal pain. Her history included systemic lupus erythematosus (SLE) and use of immunosuppressive drugs. The patient's general condition was poor with fever and tenderness in the abdomen. Laboratory tests revealed leukopenia (3800/mm3), elevated C reactive protein (112 mg/dL) and international noramalised ratio (INR 11). In contrast-enhanced CT, bilateral tubo-ovarian abscess was observed sized 86×44 …