scholarly journals Genital Tuberculosis as the Cause of Tuboovarian Abscess in an Immunosuppressed Patient

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
M. Ilmer ◽  
F. Bergauer ◽  
K. Friese ◽  
I. Mylonas
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Extrapulmonary Tuberculosis ◽  
Female Genital Tract ◽  
Rare Event ◽  
Lower Abdominal Pain ◽  
Immunosuppressed Patient ◽  
Genital Tuberculosis ◽  
Major Health Problem ◽  
Tuboovarian Abscess

Background. Although tuberculosis (TB) is a major health problem worldwide, primary extrapulmonary tuberculosis (EPTB), and in particular female genital tract infection, remains a rare event.Case Report. A 35-year-old human immunodeficiency virus (HIV) seropositive woman of African descent with lower abdominal pain and fever of two days duration underwent surgery due to left adnexal mass suggesting pelvic inflammatory disease. The surgical situs showed a four quadrant peritonitis, consistent with the clinical symptoms of the patient, provoked by a tuboovarian abscess (TOA) on the left side. All routine diagnostic procedures failed to determine the causative organism/pathogen of the infection. Histopathological evaluation identified a necrotic granulomatous salpingitis and specific PCR analysis corroboratedMycobacterium tuberculosis(M. Tb). Consequently, antituberculotic therapy was provided.Conclusion. In the differential diagnosis of pelvic inflammatory disease, internal genital tuberculosis should be considered. Moreover, physicians should consider tuberculous infections early in the work-up of patients when immunosuppressive conditions are present.

scholarly journals Effect of Sharbat-e-Deenarin uncomplicated Pelvic Inflammatory Disease- A Clinical study

2020 ◽  
Vol 11 (4) ◽  
pp. 7634-7643
Author(s):  
Ghazala Ahmad ◽  
Ismath Shameem
Keyword(s):  
Clinical Study ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
White Blood Cells ◽  
Female Genital Tract ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Gynecologic Surgery ◽  
Discharge Data ◽  
Vas Score

Pelvic inflammatory disease (Waram al-Rahim)is one of the most serious gynaecological infections of the upper female genital tract with the worldwide annual rate of 10-20/1000 women of reproductive age.  The objective planned for the study was to evaluate the effect of Sharbat-e-Deenar in uncomplicated Pelvic Inflammatory Disease (uPID).  A pre and post observational single group clinical study was carried out in the Department of IlmulQabalatwaAmrazeNiswan, National Institute of Unani Medicine, Hospital, Bengaluru. Diagnosed cases (n=30) of uPID were included in the study. Patients with complicated PID, history of antibiotic therapy within seven days of recruitment; delivery, abortion or gynecologic surgery within the last 30 days,  systemic diseases, malignancies, pregnancy & lactation were excluded. Sharbat-e-Deenarconsists of Poste baikhekasniandTukhmekasni(Cichorium intybus  Linn.), Gulesurkh (Rosa damascene mill.), Tukhmekasoos(CuscutareflexaRoxb.)  and Rewandchini (Rheum emodiWall. ex Meissn) were administered orally in a dose of 20 ml twice daily for 14 days. Outcome measures were 30-70% clinical improvement in Visual Analogue Scale (VAS) score for lower abdominal pain and McCormack Pain Scale (McPS) score for abdominopelvic tenderness and White Blood Cells (WBCs) count <10 on saline microscopy of discharge. Data were analyzed using paired Student ‘t’ test, Wilcoxon Signed rank test and Paired Proportion test.Clinical improvement of 30-70% in McPS and VAS score was achieved in 96.7% (p<0.001**) and 93.3% (p<0.001**) patients respectively. WBCs count <10 on saline microscopy of discharge was achieved in 70% patients (p<0.001**).Sharbat-e-Deenarwas effective in improving the sign & symptoms of PID due to its anti-microbial, anti-inflammatory, anti-spasmodic and anti-oxidant properties. No adverse effect of the research drug was encountered during the study. Hence, Sharbat-e-Deenar serves as an effective alternative in patients with PID, proving the research hypothesis.

scholarly journals Clinical Profile of Pelvic Inflammatory Disease (PID).

2017 ◽  
Vol 12 (1) ◽  
pp. 25-30
Author(s):  
Shahana Ahmed ◽  
Selina Parvin ◽  
Dipti Rani Shaha ◽  
Poly Begum ◽  
Lipika Sanjowal ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Presentation ◽  
Pregnancy Termination ◽  
Lower Abdominal Pain ◽  
College Hospital ◽  
Cross Sectional ◽  
Major Health Problem ◽  
At Home

Pelvic inflammatory disease is an important and major health problem in Bangladesh. This study was undertaken to find out the common clinical presentation of pelvic inflammatory disease in relation to reproductive health of women in our country. This study has been carried out at the outpatient department of Obstetrics and Gynaecology, Sher- EBangla Medical College Hospital, Barisal, during period from January 2010 to December 2010. In this descriptive type of cross sectional study, total number of 150 patients suffering from PID were selected. Details history and thorough clinical examination was performed with the aim of find out clinical presentation of PID. Related investigations were done. This study shows that 54% belongs to age group 26-35 years, 90% patients were married and 4% were separated, 90% were house wifes, 60% patients were from lower socio-economic status. All patients complained lower abdominal pain, 60% had vaginal discharge, 80% patients delivered solely at home and 73.33% were delivered by untrained birth attendants at home. Pelvic inflammatory disease is detrimental to reproductive health and makes the women cripple physically, mentally and socially. So appropriate measures e.g. better obstetric and delivery care, family planning care, safe way of pregnancy termination; health education etc. should be made for our women.Faridpur Med. Coll. J. Jan 2017;12(1): 25-30

scholarly journals Fuke Qianjin Combined with Antibiotic Therapy for Pelvic Inflammatory Disease: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yu Chen ◽  
Shaobin Wei ◽  
Li Huang ◽  
Mei Luo ◽  
Yang Wu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Meta Analysis ◽  
Lower Abdominal Pain ◽  
Effective Rate ◽  
Chinese Patent ◽  
Meta Analyses

Background. Pelvic inflammatory disease (PID) without timely and proper treatment can cause long-term sequelae; meanwhile, patients will be confronted with the antimicrobial resistance and side effects. Chinese patent medicine as a supplement is used to treat PID with satisfactory clinical efficacy. This study evaluated the efficacy and safety of Fuke Qianjin (FKQJ) combined with antibiotics in the treatment of PID. Methods. Eight electronic databases and other resources were searched to make a collection of the randomized controlled trials (RCTs) from 1990 to 2019. The RCTs contrasting the effect of FKQJ combined with antibiotics regimens and antibiotics alone in reproductive women with PID were included. The antibiotics regimens are all recommended by the guidelines. Two reviewers independently screened the studies, extracted the data, and assessed the methodological quality of the included studies. Then, the meta-analyses were performed by RevMan 5. 3 software if appropriate. Results. Twenty-three RCTs (2527 women) were included in this review. The evidence showed that FKQJ combined with antibiotics improved the markedly effective rate compared to antibiotics alone group (RR = 1.38, 95% CI 1.27 to 1.49, I2 = 42%), shortened the improvement time of low abdominal pain (MD = −1.11, 95% CI −1.39 to −0.84, I2 = 38%), and increased the rate of lower abdominal pain improvement (RR = 1.35, 95% CI 1.19 to 1.55, I2 = 0). The implementation of adjuvant reduced the recurrent rate compared with antibiotics alone (RR = 0.27, 95% CI 0.13 to 0.56, I2 = 0%). Conclusions. Based on available evidence, FKQJ combined with antibiotics therapy have certain outcomes on increasing the markedly effective rate, decreasing the recurrent rate compared with antibiotics alone group. This therapy appears to improve lower abdominal pain and curtail the relief time. Due to the low quality and the risk of bias, any high-quality evidence or longer follow-up period should be advisable and necessary in the future.

Pelvic inflammatory disease

2020 ◽  
pp. 536-549
Author(s):  
Gillian Dean ◽  
Jonathan Ross
Keyword(s):  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Severe Disease ◽  
Lower Abdominal Pain ◽  
Asymptomatic Infection ◽  
Public Understanding ◽  
Transmitted Infection ◽  
Delay In Diagnosis ◽  
Sexually Transmitted

Pelvic inflammatory disease is a sexually transmitted infection of the female upper genital tract. Rates of pelvic inflammatory disease have fallen in many countries over the last 10 years, at least in part due to increased screening for chlamydial infection. The clinical spectrum ranges from asymptomatic infection through to severe disease requiring hospitalization. Due to the non-specific nature of the condition, diagnosis can be challenging. All sexually active women presenting with acute lower abdominal pain should have a pregnancy test to rule out ectopic pregnancy. Treatment must be initiated as soon as the diagnosis is suspected and include antibiotics covering a broad spectrum of pathogens. Delay in diagnosis increases the risk of adverse sequelae including ectopic pregnancy and infertility. It is recommended that current and recent sexual partners receive empirical treatment, regardless of symptoms or microbiological results, and refrain from sexual contact until completion of therapy. Through better public understanding of the symptoms of pelvic inflammatory disease, women seeking earlier medical attention may reduce the risk of reproductive damage.

Recognition of tuboovarian abscess in adolescents with pelvic inflammatory disease

1994 ◽  
Vol 15 (1) ◽  
pp. 97
Author(s):  
Gail Slap ◽  
Richard Bellah ◽  
Avital Cnaan ◽  
Christine Forke ◽  
Maryl Kreider ◽  
...  
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Tuboovarian Abscess

scholarly journals Unilateral Pyosalpinx in an Adult Female presenting with Features of Acute Abdomen: A Case Report

2021 ◽  
Vol 23 (3) ◽  
pp. 272-274
Author(s):  
Shankar Poudel ◽  
U. Sangroula ◽  
A. Rajak
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Acute Abdomen ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Great Role ◽  
Inflammatory Changes ◽  
Ovarian Abscess ◽  
Late Manifestation ◽  
Female Genital

Pyosalpinx is defined as collection of pus in the fallopian tube and is a late manifestation of pelvic inflammatory disease. Pelvic inflammatory disease refers to a spectrum of inflammatory changes of the female genital tract. It comprises of endometritis, salpingitis, cervicitis, pyosalpinx, tubo-ovarian abscess and peritonitis. Pyosalpinx may progress to tubo-ovarian abscess which may rupture leading to peritonitis. In addition, pelvic inflammatory disease commonly affects both side of the tube. Thus, early diagnosis and proper intervention plays a great role in the management of pyosalpinx. We report a case of unilateral left sided pyosalpinx which presented with features of acute abdomen.

scholarly journals Epidemiology and Risk Factors of Pelvic Inflammatory Disease.

2015 ◽  
Vol 13 (1) ◽  
pp. 4-8
Author(s):  
Bandana Pandey
Keyword(s):  
Abdominal Pain ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Rural Areas ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Age Group ◽  
Increased Risk ◽  
Reproductive Age Group

Introduction: Knowledge of pelvic inflammatory disease and its epidemiology is essential to understand reproductive morbidity in women. This paper estimates the level of association between demographic factors and pelvic inflammatory disease in women in their reproductive age. Methods: A descriptive study done in Humla, Kritipur and Baudha by organizing a health camp. Women of reproductive age group and who have lower abdominal pain, pervaginal discharge, fever, and dysparunia were included in the study after taking informed verbal consent from the patient. Patients who have lower abdominal pain and pervaginal discharge were diagnosed as pelvic inflammatory disease. Results: Diagnoses of pelvic inflammatory disease were made in 30% of attendances amongst women aged between 16 to 48. Increased risk of pelvic inflammatory disease was associated with smoking (P<0.0001), age groups 31 – 40 yrs (44.6%),in rural areas(45%) and people who are illiterate (P<0.0001). Among 400, 383(95%) were reported ever using a modern contraceptive. Conclusion: The prevalence of pelvic inflammatory disease was 30% in reproductive age group and was significantly associated with smoking.doi: http://dx.doi.org/10.3126/mjsbh.v13i1.12992 

Hospitalizations for Pelvic Inflammatory Disease and Tuboovarian Abscess

2006 ◽  
Vol 107 (3) ◽  
pp. 611-616 ◽  
Author(s):  
Clara K. Paik ◽  
L Elaine Waetjen ◽  
Guibo Xing ◽  
Jenny Dai ◽  
Richard L. Sweet
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Tuboovarian Abscess
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