Pyosalpinx in a 12-Year-Old Virgin Following an Untreated Pharyngitis Caused by Streptococcus Pyogenes

Case: Pyosalpinx in sexual inactive patients is rare and usually not the first differential diagnosis considered in acute abdomen.We report a case of 12-year-old, sexually inactive patient with unilateral pyosalpinx with appendicular involvement following an untreated pharyngitis caused by Streptococcus pyogenes.A laparoscopic salpingotomy and appendectomy were performed to treat this patient followed by a 10-days antibiotic therapy with amoxicillin/clavulanic acid.The swabs taken from the pyosalpinx and appendix grew Streptococcus pyogenes which was sensitive to chosen antibiotic therapy.Conclusions: Pelvic inflammatory disease (PID), with or without pyosalpinx, may result from untreated Streptococcal pharyngitis in young girls without typical risk factors.Even if streptococcal pharyngitis appears to be resolving spontaneously, antibiotic treatment is still advised to prevent potential complications.Laparoscopy is the preferred diagnostic and therapeutic approach to confirming the suspicion of salpingitis, with or without pyosalpinx, and can also identify appendicular or other abdominal involvement.