The Experts below are selected from a list of 1626 Experts worldwide ranked by ideXlab platform
David A. Eschenbach - One of the best experts on this subject based on the ideXlab platform.
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bacterial vaginosis and anaerobes in obstetric Gynecologic Infection
Clinical Infectious Diseases, 1993Co-Authors: David A. EschenbachAbstract:Anaerobic Infections of the upper genital tract are common. Antibiotic regimens designed to inhibit anaerobes markedly reduce morbidity. A vaginal Infection associated with an increased concentration of anaerobic bacteria (bacterial vaginosis) has been recently linked to a wide variety of upper genital tract Infections. Bacterial vaginosis has an important role in the development of clinical chorioamnionitis, postpartum endometritis, posthysterectomy vaginal-cuff cellulitis, postabortion pelvic inflammatory disease, and upper genital tract Infections such as amniotic fluid Infection and chorioamnion Infection associated with premature delivery.
Gómez Ballestín S - One of the best experts on this subject based on the ideXlab platform.
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Splenic abscess following Gynecologic Infection with complete response to antibiotic treatment
Anales de medicina interna (Madrid Spain : 1984), 1995Co-Authors: Fombuena Moreno M, Calvo Catalá J, Hortelano Martínez E, Herrera Ballester A, Gómez Ballestín SAbstract:A 37 year old woman is presented with solitary splenic abscess, without involvement of other organs, in the context of septic abortion. Splenic abscess were effectively treated with 21 days of antibiotic administration, not was necessitated splenectomy and percutaneous drainage. Emphasis is laid on its rarity of solitary splenic abscess in the course of Gynecologic Infection, and complete response to antibiotic treatment.
R L Thomas - One of the best experts on this subject based on the ideXlab platform.
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aerobic and anaerobic microbiologic factors and recovery of beta lactamase producing bacteria from obstetric and Gynecologic Infection
Surgery gynecology & obstetrics, 1991Co-Authors: Itzhak Brook, E H Frazier, R L ThomasAbstract:: Specimens obtained from 736 patients with obstetric and Gynecologic Infections were studied for aerobic and anaerobic bacteria. Bacterial growth was present in 714 specimens. These included 53 specimens of infected fallopian tubes, 470 of infected endometrium, 94 of infected amniotic fluid, 57 of aspirates of cul-de-sacs in instances of pelvic inflammatory disease, 14 labial and vaginal abscesses and 26 of Bartholyn's cyst abscess. A total of 2,052 isolates (2.9 per specimen), 1,139 anaerobes (1.6 per specimen) and 913 aerobic or facultative (1.3 per specimen) were recovered. The most commonly isolated anaerobic bacteria was Bacteroides species (566 isolates), which included Bacteroides bivius (151), Bacteroides fragilis group (130), Bacteroides melaninogenicus group (110) and Bacteroides ureolyticus (47). Others included an anaerobic gram-positive cocci (391), Clostridium species (48) and Fusobacterium species (36). The most frequently recovered aerobic and facultative bacteria were Lactobacillus species (169), Escherichia coli (85), Neisseria gonorrhoeae (62), Staphylococcus aureus (59) and Group B streptococcus (55). Three hundred and sixty-five (18 per cent) of the isolates recovered from 276 (39 per cent) patients were beta-lactamase producing organisms (BLPO); 222 (61 per cent) anaerobes and 143 (39 per cent) aerobes or facultatives. The most common BLPO were B. fragilis group, B. bivius, B. melaninogenicus, B. disiens, Enterobacteriaceae and S. aureus. These data illustrate the polymicrobial nature and important role of BLPO in obstetric and Gynecologic Infection.
Maria Nina Chitasombat - One of the best experts on this subject based on the ideXlab platform.
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A case report of Tubo-ovarian abscess caused by Burkholderia pseudomallei
BMC, 2018Co-Authors: Pattaranit Nernsai, Areepan Sophonsritsuk, Srithean Lertvikool, Artit Jinawath, Maria Nina ChitasombatAbstract:Abstract Background Melioidosis, the disease caused by Burkholderia pseudomallei is endemic in the Northeastern part of Thailand, South-East Asia, and Northern Australia. The pelvic involvement of disease is rare even in an endemic area. Therefore, we describe in this report the clinical presentation, management, and outcome of the patient with primary tubo-ovarian abscess due to melioidosis. Case presentation A 31-year-old Thai cassava farmer woman presented with fever and abdominal pain at left lower quadrant for one month. She also had pain, swelling, and redness of the genitalia without any ulcer. She had odorless whitish vaginal discharge. The pelvic examination revealed excitation pain on the left side of her cervix. Transvaginal ultrasonography revealed a large left tubo-ovarian abscess size 9.4 × 4.8 cm located at anterior of the uterus. Urgent exploratory laparotomy revealed left hydrosalpinx with a large amount of pus. The pus culture grew Burkholderia pseudomallei. The computer tomography of the abdomen revealed multiple hepatosplenic abscesses. The patient underwent left salpingo-oophorectomy and pus drainage. The pathological examination of excised left adnexa revealed chronic and acute suppurative inflammation with necrotic tissue. She was given intravenous ceftazidime for one month, and her clinical symptom improved. She was diagnosed with type 2 diabetes mellitus at this visit and treated with insulin injection. She continued to take oral co-trimoxazole for 20 weeks. The final diagnosis was disseminated melioidosis with left tubo-ovarian abscess and hepatosplenic abscesses in a newly diagnosed morbidly obese diabetic patient. Conclusion Burkholderia pseudomallei should be considered as the causative organism of Gynecologic Infection among patient with risk factor resided in an endemic area who do not respond to standard antibiotics. The pus culture from the site of Infection is the only diagnostic method of pelvic melioidosis, appropriate antibiotics, and adequate surgical drainage were the components of the successful outcome
Fombuena Moreno M - One of the best experts on this subject based on the ideXlab platform.
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Splenic abscess following Gynecologic Infection with complete response to antibiotic treatment
Anales de medicina interna (Madrid Spain : 1984), 1995Co-Authors: Fombuena Moreno M, Calvo Catalá J, Hortelano Martínez E, Herrera Ballester A, Gómez Ballestín SAbstract:A 37 year old woman is presented with solitary splenic abscess, without involvement of other organs, in the context of septic abortion. Splenic abscess were effectively treated with 21 days of antibiotic administration, not was necessitated splenectomy and percutaneous drainage. Emphasis is laid on its rarity of solitary splenic abscess in the course of Gynecologic Infection, and complete response to antibiotic treatment.