Amebic vaginal abscess: A case report from Indonesia

Genital amebiasis is rare. The paper presents the case of an amebic vaginal abscess. A 39-year-old Indonesian woman presented to the hospital with a 5-day history of fever and vaginal pain in January 2019. On physical examination, she was noted to have vaginal abscess. Incission and drainage of the absccess revealed a malorderous, reddish-brown purulent discharge. A Gram stain and culture of purulent material was negative for the presence of bacteria but Giemsa stain revealed trophozoite consistent with Entamoeba histolytica. The patient was treated with oral metronidazole for one day in the hospital and then oral and intra vaginal metronidazole for two days as an out-patient. Final followup at 5 days post-drainage revealed improved condition and she get recovered. In patients with vaginal abscess with a negative workup for bacteria and at risk for ameba infection, an amebic vaginal abscess should be in defferential diagnosis.