Comparative study of the clinical features of patients with a tubo-ovarian abscess and patients with severe pelvic inflammatory disease

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• 作者：Luis H. Sordia-Herná ; ndez ; ^{luissordia@telmexmail.com" class="auth_mail" title="E-mail the corresponding author} ; Laura G. Serrano Castro ; Marí ; a O. Sordia-Piñ ; eyro ; Arturo Morales Martinez ; Mary C. Sepulveda Orozco ; Geraldina Guerrero-Gonzalez
• 关键词：Leukocytosis ; Pelvic inflammatory disease ; Tubo-ovarian abscess
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：132
• 期：1
• 页码：17-19
• 全文大小：149 K

文摘

To determine the clinical characteristics that indicate the presence of tubo-ovarian abscess (TOA) among patients with severe pelvic inflammatory disease (PID).

Methods

An observational cohort study was performed from October 2011 to March 2013. The study included all patients with a diagnosis of TOA and PID admitted to a university hospital in Mexico. A complete medical history and physical examination were performed, and laboratory studies were reviewed. A logistic regression analysis was performed on variables with statistical significance.

Results

Overall, 26 patients with PID and TOA (TOA group) and 26 with PID without TOA (PID group) were included in the study. Significant differences between patients with TOA and PID were found with regard to the patients’ age (39.3 years vs 33.1 years; P = 0.04), educational level (only elementary, 13 [50%] vs 5 [19%]; P = 0.14), presentation with fever (23 [88%] vs 16 [62%]; P = 0.025), white blood cell count (21.8 × 10⁹/L vs 14.9 × 10⁹/L; P < 0.001), number of deliveries (2.2 vs 1.1; P = 0.01), and presence of diarrhea (16 [62%] vs 5 [19%]; P < 0.001). The triad of fever, leukocytosis, and diarrhea was positively related to the presence of TOA.

Conclusion

The triad of fever, leukocytosis, and diarrhea should alert clinicians to the possibility of TOA formation in patients with PID.