The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Christopher J Apostol - One of the best experts on this subject based on the ideXlab platform.
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BRIEF REPORTS Fatal Pneumococcal Sepsis from a Tuboovarian Abscess
2014Co-Authors: Michael W Felz, Christopher J ApostolAbstract:Although Streptococcus pneumoniae is frequently as-sociated with human respiratory illnesses, only rarely have pneumococcal organisms been impli-cated in gynecologic infectious syndromes. We re-port a recent case of fatal S pneumoniae infection from a Tuboovarian Abscess discovered at autopsy and review the literature pertaining to this previ-ously unreported clinical occurrence. Case Report A 35-year-old female nurse noted 5 days of gray vaginal discharge and worsening right hip pain, followed the next day by malaise, chills, fever, leth-argy, and weakness. After collapse in an emergency department, she was intubated and transferred to the Medical College of Georgia by helicopter. He
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fatal pneumococcal sepsis from a Tuboovarian Abscess
Journal of The American Board of Family Practice, 2004Co-Authors: Michael W Felz, Christopher J ApostolAbstract:Although Streptococcus pneumoniae is frequently associated with human respiratory illnesses, only rarely have pneumococcal organisms been implicated in gynecologic infectious syndromes. We report a recent case of fatal S pneumoniae infection from a Tuboovarian Abscess discovered at autopsy and
Joel D Klein - One of the best experts on this subject based on the ideXlab platform.
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Tuboovarian Abscess and peritonitis caused by streptococcus pneumoniae serotype 1 in young girls
Clinical Infectious Diseases, 1996Co-Authors: Andrew P. Sirotnak, Stephen C Eppes, Joel D KleinAbstract:Streptococcus pneumoniae is a frequent bacterial cause of pneumonia, bacteremia, meningitis, and otitis media in infants and children. Primary pneumococcal peritonitis, however, is rare in children and is usually associated with an underlying medical condition (such as nephrotic syndrome) or with upper genital tract disease in females, Pneumococcal upper genital tract infections in the premenarchal child are extremely unusual. Epidemiologic reviews of pneumococcal serotypes causing infection in children have indicated that serotype 1 is an uncommon pathogen of pelvic disease in children. We describe three children who presented with abdominal pain and a toxic appearance; appendicitis was initially suspected in all three children, but peritonitis due to S pneumoniae serotype 1 was subsequently diagnosed in all three. Each child had a Tuboovarian Abscess that was demonstrated radiographically. Two children had complicated courses, but all ultimately recovered. The epidemiology and possible tropism of serotype 1 isolates for the female upper genital tract are discussed.
David E Soper - One of the best experts on this subject based on the ideXlab platform.
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Pelvic Inflammatory Disease in the Postmenopausal Woman
2013Co-Authors: S. L. Jackson, David E SoperAbstract:Objective: Review available literature on pelvic inflammatory disease in postmenopausal women. Design: MEDLINE literature review from 1966 to 1999. Results: Pelvic inflammatory disease is uncommon in postmenopausal women. It is polymicrobial, often is concurrent with Tuboovarian Abscess formation, and is often associated with other diagnoses. Conclusion: Postmenopausal women with pelvic inflammatory disease are best treated with inpatient parenteral antimicrobials and appropriate imaging studies. Failure to respond to antibiotics should yield a low threshold for surgery, and consideration of alternative diagnoses should b
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pelvic inflammatory disease
Obstetrics & Gynecology, 2010Co-Authors: David E SoperAbstract:Pelvic inflammatory disease (PID) is an infection-caused inflammatory continuum from the cervix to the peritoneal cavity. Most importantly, it is associated with fallopian tube inflammation, which can lead to infertility, ectopic pregnancy, and chronic pelvic pain. The microbial etiology is linked to sexually transmitted microorganisms, including Chlamydia trachomatis, Neisseria gonorrheae, Mycoplasma genitalium, and bacterial vaginosis-associated microorganisms, predominantly anaerobes. Pelvic pain and fever are commonly absent in women with confirmed PID. Clinicians should consider milder symptoms such as abnormal vaginal discharge, metrorrhagia, postcoital bleeding, and urinary frequency as potential symptoms associated with the disease, particularly in women at risk of sexually transmitted infection. The diagnosis of PID is based on the findings of lower genital tract inflammation associated with pelvic organ tenderness. The outpatient treatment of mild-to-moderate PID should include tolerated antibiotic regimens with activity against the commonly isolated microorganisms associated with PID and usually consists of an extended spectrum cephalosporin in conjunction with either doxycycline or azithromycin. Clinically severe PID should prompt hospitalization and imaging to rule out a Tuboovarian Abscess. Parenteral broad-spectrum antibiotic therapy with activity against a polymicrobial flora, particularly gram-negative aerobes and anaerobes, should be implemented. Screening for and treatment of Chlamydia infection can prevent PID.
Andrew P. Sirotnak - One of the best experts on this subject based on the ideXlab platform.
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Tuboovarian Abscess and peritonitis caused by streptococcus pneumoniae serotype 1 in young girls
Clinical Infectious Diseases, 1996Co-Authors: Andrew P. Sirotnak, Stephen C Eppes, Joel D KleinAbstract:Streptococcus pneumoniae is a frequent bacterial cause of pneumonia, bacteremia, meningitis, and otitis media in infants and children. Primary pneumococcal peritonitis, however, is rare in children and is usually associated with an underlying medical condition (such as nephrotic syndrome) or with upper genital tract disease in females, Pneumococcal upper genital tract infections in the premenarchal child are extremely unusual. Epidemiologic reviews of pneumococcal serotypes causing infection in children have indicated that serotype 1 is an uncommon pathogen of pelvic disease in children. We describe three children who presented with abdominal pain and a toxic appearance; appendicitis was initially suspected in all three children, but peritonitis due to S pneumoniae serotype 1 was subsequently diagnosed in all three. Each child had a Tuboovarian Abscess that was demonstrated radiographically. Two children had complicated courses, but all ultimately recovered. The epidemiology and possible tropism of serotype 1 isolates for the female upper genital tract are discussed.
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Tuboovarian Abscess and Peritonitis Caused by Streptococcus pneumoniae Serotype 1
1996Co-Authors: Andrew P. SirotnakAbstract:Streptococcus pneumoniae is a frequent bacterial cause of pneumonia, bacteremia, meningitis, and otitis media in infants and children. Primary pneumococcal peritonitis, however, is rare in children and is usually associated with an underlying medical condition (such as nephrotic syn-drome) or with upper genital tract disease in females. Pneumococcal upper genital tract infections in the premenarchal child are extremely unusual. Epidemiologic reviews of pneumococcal serotypes causing infection in children have indicated that serotype 1 is an uncommon pathogen of pelvic disease in children. We describe three children who presented with abdominal pain and a toxic appearance; appendicitis was initially suspected in all three children, but peritonitis due to S. pneumoniae serotype 1 was subsequently diagnosed in all three. Each child had a Tuboovarian Abscess that was demonstrated radiographically. Two children had complicated courses, but all ultimately recovered. The epidemiology and possible tropism of serotype 1 isolates for the female upper genital tract are discussed. Streptococcus pneumoniae causes bacterial pneumonia and is also the most common cause ofbaeteremia, otitis media, and menin-gitis in infants and children. It can also cause primary peritoniti
Teruhiko Tamaya - One of the best experts on this subject based on the ideXlab platform.
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Tuboovarian Abscess caused by candida glabrata in a febrile neutropenic
2003Co-Authors: Hiroshige Mikamo, Mochiyoshi Ninomiya, Teruhiko TamayaAbstract:Deep-seated Candida infections are strongly associated with mortality and morbidity of patients, and need early diagnosis. The frequency of deep-seated fungal infection has recently been growing. We encountered a Tuboovarian Abscess caused by Candida glabrata after chemotherapy with an anticancer drug, methotrexate, in a febrile neutropenic patient. The susceptibilities to fluconazole and amphotericin B were 16 and 0.5 μg/ml, respectively. Although combination therapy of fluconazole and amphotericin B was effective, left salpingectomy was laparoscopically performed because the left adnexal tumor continued to exist asymptomatically after 1 month.
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Tuboovarian Abscess caused by candida glabrata in a febrile neutropenic patient
Journal of Infection and Chemotherapy, 2003Co-Authors: Hiroshige Mikamo, Mochiyoshi Ninomiya, Teruhiko TamayaAbstract:Deep-seated Candida infections are strongly associated with mortality and morbidity of patients, and need early diagnosis. The frequency of deep-seated fungal infection has recently been growing. We encountered a Tuboovarian Abscess caused by Candida glabrata after chemotherapy with an anticancer drug, methotrexate, in a febrile neutropenic patient. The susceptibilities to fluconazole and amphotericin B were 16 and 0.5 µg/ml, respectively. Although combination therapy of fluconazole and amphotericin B was effective, left salpingectomy was laparoscopically performed because the left adnexal tumor continued to exist asymptomatically after 1 month.
