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Acute Endometritis
Endometritis Acute

Presentation

The text is structured to present a logical approach to formulating a pathologic diagnosis from the diverse array of tissue received in the surgical pathology laboratory. [books.google.com]

We recruited 115 women who had presented to a clinic for sexually transmitted diseases in Nairobi, Kenya with pelvic pain that had persisted for 14 days or less, to look for an association between Mycoplasma genitalium and endometritis. [ncbi.nlm.nih.gov]

Histologically, neutrophilic infiltration of the endometrial tissue is present during acute endometritis. The clinical presentation is typically high fever and purulent vaginal discharge. There could be edema and hyperemia of the endometrium. [99eyao.com]

Endometritis Patients with endometritis often present with the clinical features of PID. [clinicalgate.com]

Entire Body System

  • Fever

    […] pelvic Thrombophlebitis Consider Drug Fever XI. [fpnotebook.com]

    Patients with low-grade fever and no abdominal pain are evaluated for other occult causes, such as atelectasis, breast engorgement, breast infection, UTI, and leg thrombophlebitis. Fever due to breast engorgement tends to remain ≤ 39 ° C. [msdmanuals.com]

    The clinical presentation is typically high fever and purulent vaginal discharge. There could be edema and hyperemia of the endometrium. [99eyao.com]

    Women who develop a fever can also experience flu-like symptoms, such as body discomfort or malaise. [livestrong.com]

    A 48-year-old female presented to the emergency department with a 3-day history of lower abdominal pain and fever. On physical examination she was tachycardic, hypotensive and had fundic tenderness to palpation. [ncbi.nlm.nih.gov]

  • Sepsis

    The Royal College of Obstetricians and Gynaecologists (RCOG) guideline for sepsis following pregnancy recommends IV piperacillin/tazobactam or a carbapenem plus clindamycin for severe sepsis. [patient.info]

    Evidence of H. influenzae in the endometrium demonstrates that the uterus can be the nidus for sepsis when invasive H. influenzae is found with no distinct usual primary focus. [ncbi.nlm.nih.gov]

    Without treatment the disease passes into an endometritis of a chronic form or comes to an end with process generalization: parametritis, peritonitis, thrombophlebitis of veins of a small pelvis, pelvic abscess or sepsis. [en.medicalmed.de]

    […] which is a general pelvic infection collections of pus or abscesses in the pelvis or uterus septicemia, which is bacteria in the blood septic shock, which is an overwhelming blood infection that leads to very low blood pressure Septicemia can cause sepsis [healthline.com]

  • Chills

    […] proper lung maturity of the baby) Miscarriage or abortion (postabortal endometritis) Fever with temperature above 100.4°F [7] Lower abdominal pain [8] Constipation or diarrhea Uterine pain and tenderness [7] Aching pain all over the body Pelvic pain Chills [pregmed.org]

    […] endometritis; it is due to the endometrial inflammation. [5] Urinary Symptoms Key urinary symptoms include dysuria, frequency and urgency; these occur when the mucosa of the adjacent urinary tract becomes involved. [1] Fever This may be associated with chills [explainmedicine.com]

    […] syringing, vaginal contraceptives) Using tampons (when soaking up menstrual blood, favourable conditions occur for infectious bacteria to develop) Residue from tissues, blood or ovule promotes bacterial flora growth in number Symptoms: High temperature Mild chill [evromedika.ru]

    The disease begins with fever to 38-38,5 degrees and chills. Pulse Ochsen, corresponds to the temperature. Patients complain of weakness, abdominal pain, headache, loss of appetite. [medicalency.com]

    The clinical manifestation of endometritis are including acute onset; shaking chill, fever(36℃~40℃); quickening pulse; general weakness; sweating; pain in lower abdomen; swelling; soreness of waist; plenty of full-blooded, purulence or watery leucorrhea [forums.netdoctor.co.uk]

  • Rigor

    […] it is due to the endometrial inflammation. [5] Urinary Symptoms Key urinary symptoms include dysuria, frequency and urgency; these occur when the mucosa of the adjacent urinary tract becomes involved. [1] Fever This may be associated with chills and rigors [explainmedicine.com]

    Signs and symptoms include lower abdominal pain (suprapubic), rigors, fever, and the discharge of pus on introduction of a sound into the uterus. Pyometra is treated with antibiotics, according to culture and sensitivity. [en.wikipedia.org]

Gastrointestinal

  • Abdominal Pain

    Symptoms include lower abdominal pain, fever and abnormal vaginal bleeding or discharge. Caesarean section, prolonged rupture of membranes and long labor with multiple vaginal examinations are important risk factors. [99eyao.com]

    For the chronic one, as the usually show the low back pain, vaginal discharge increasing, abdominal pain, the sexual life can make those symptoms intensified, so their sexual life should not be too frequent. [global.fuyanpills.com]

    Pressure placed on the lower abdominal region during normal bowel movements can exacerbate abdominal pain symptoms in women with chronic endometritis. [livestrong.com]

    A 48-year-old female presented to the emergency department with a 3-day history of lower abdominal pain and fever. On physical examination she was tachycardic, hypotensive and had fundic tenderness to palpation. [ncbi.nlm.nih.gov]

    Lower Abdominal Pain This is typically experienced in the suprapubic region, and is due to referral of pain secondary to inflammation of the uterine cavity lining. [1] Dyspareunia This classically manifests as a deep seated pain during sexual intercourse [explainmedicine.com]

Skin

  • Sweating

    […] of the baby) Miscarriage or abortion (postabortal endometritis) Fever with temperature above 100.4°F [7] Lower abdominal pain [8] Constipation or diarrhea Uterine pain and tenderness [7] Aching pain all over the body Pelvic pain Chills, headache and sweating [pregmed.org]

    The clinical manifestation of endometritis are including acute onset; shaking chill, fever(36℃~40℃); quickening pulse; general weakness; sweating; pain in lower abdomen; swelling; soreness of waist; plenty of full-blooded, purulence or watery leucorrhea [forums.netdoctor.co.uk]

    The main features of the acute process include: Intoxication First of all, this is manifested by a significant increase in temperature (39 - 40 degrees), accompanied by chills and excessive sweating. [en.medicine-power.com]

Neurologic

  • Neglect

    Emphasis is too often placed on STD infections, neglecting other causes and associations. It is difficult to find proper information about endometritis on the web. [drservy.com]

Urogenital

  • Pelvic Pain

    We recruited 115 women who had presented to a clinic for sexually transmitted diseases in Nairobi, Kenya with pelvic pain that had persisted for 14 days or less, to look for an association between Mycoplasma genitalium and endometritis. [ncbi.nlm.nih.gov]

    Pelvic pain is the most common symptom (80%). It is manifested by painful menses and/or painful intercourse and/or a chronic pelvic discomfort that have over a period of several months or years become a nuisance. [drservy.com]

    Pelvic pain may occur, but pain and fever are usually more typical of acute endometritis. Treatment of chronic endometritis depends on the cause. If there is no identified cause or if the doctor suspects infection, then antibiotics are given. [sharecare.com]

    This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. PID is the most common preventable cause of infertility in the United States. [icdlist.com]

    11 Replies, Last Reply 07-26-2002, Started By meb » chronic pelvic pain 1 Reply, Last Reply 07-26-2002, Started By coolbreeze » Chronic pain 2 Replies, Last Reply 04-24-2002, Started By debJean » back, hip pain chronic 16 Replies, Last Reply 05-27-2001 [hystersisters.com]

  • Uterine Tenderness

    Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [msdmanuals.com]

    Sometimes, it is also accompanied with bloody stench, uterus slightly large than usual or even uterine tenderness. While the chronic one’s performance is basically the same with the acute. [global.fuyanpills.com]

    Pain and uterine tenderness, which may radiate to the adnexae. Tachycardia. Investigations Blood cultures should be performed. FBC may reveal a raised white cell count. Check midstream urine. [patient.info]

    Less common symptoms include fever, vaginal discharge and infertility.(12)(13)(15) The most common physical finding in women with biopsy results showing chronic endometritis is uterine tenderness or cervical motion tenderness. [drplace.com]

    […] or uterine tenderness or adnexal tenderness. [cdc.gov]

  • Cervical Motion Tenderness

    motion tenderness or uterine tenderness or adnexal tenderness. [cdc.gov]

    Less common symptoms include fever, vaginal discharge and infertility.(12)(13)(15) The most common physical finding in women with biopsy results showing chronic endometritis is uterine tenderness or cervical motion tenderness. [drplace.com]

    They will have a history of fever and lower abdominal pain, with leukocytosis and bilateral adnexal or cervical motion tenderness on bimanual pelvic examination. [clinicalgate.com]

Workup

[…] histopathologic features with data from ancillary techniques such as immunohistochemistry and cytogenetics and discussions of the relevant clinical manifestations of gynecological diseases to provide you with the necessary tools to make a comprehensive diagnostic workup [books.google.com]

Treatment

There should be no sexual intercourses during the treatment in order to prevent from the spread of the inflammation. Acute endometritis can be treatment with proper prescription of traditional Chinese herbs too. [99eyao.com]

But in spite of considerable success achieved in the treatment of inflammatory, incl. gynecological diseases, the problem of efficient treatment of endometritis is not solved yet. [lomr.org]

Treatment of an endometritis In treatment of an endometritis of an acute form use of antibacterial therapy as the reason of primary inflammation of a mucous uterus in most cases an infectious etiology is obligatory. [en.medicalmed.de]

Treatment PID treatment regimens must provide empiric, broad spectrum coverage of likely pathogens. [cdc.gov]

Once endometritis has been confirmed proper treatment can be prescribed. Treatment of Endometritis The most common treatment for endometritis is the prescribing of antibiotics. [tummytrouble.co.uk]

Prognosis

Prevention Employment of strict hygiene measures during breeding, reproductive examinations and parturition Adherence to the Codes of Practice Surgical correction of any existing conformational abnormalities Prognosis The prognosis of this condition vary [en.wikivet.net]

The prognosis for acute Meters in most cases favourable. But some patients with acute M. becomes chronic with a long course of the disease. [medicalency.com]

Ectopic pregnancy provides a poor prognosis for fertility. [glowm.com]

Thus, a clear diagnosis and timely treatment can reduce the failure rate of assisted conception and improve the reproduction prognosis of patients. [link.springer.com]

Prognosis [ 1 ] The vast majority of cases of endometritis following delivery treated appropriately with antibiotics improve within 48-72 hours. If this is not the case, the patient should be re-evaluated. [patient.info]

Etiology

Rosenberg SA (eds): AIDS: Etiology, Diagnosis. Treatment, and Prevention. ‎ Page 190 - Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med. ‎ Page 193 - Henson D, Tarone R. [books.google.com]

Chronic granulomatous endometritis is most often tuberculous in etiology. The granulomas are small, sparse, and without caseation. [99eyao.com]

Antibiotic therapy is curative in most cases (depending on underlying etiology), with fairly rapid alleviation of symptoms after only 2 to 3 13. [slideshare.net]

The intrauterine device as a factor in the etiology of pelvic inflammatory disease was associated with early forms of the device, in particular, the Dalkon Shield. [emedicine.medscape.com]

Etiology. The reason for metroendometritis more often is infection. [medicalency.com]

Epidemiology

Diagnostic criteria and microbial and epidemiologic associations. Am J Med. ‎ Page 193 - Henson D, Tarone R. An epidemiologic study of cancer of the cervix, vagina, and vulva based on the Third National Cancer Survey in the United States. [books.google.com]

Epidemiology Onset postpartum (days 5 to 21 after delivery) IV. Pathophysiology Polymicrobial material into amniotic fluid V. [fpnotebook.com]

While endometrial neutrophils and plasma cells are criteria used to diagnose histologic endometritis in epidemiologic pelvic inflammatory disease (PID) research, plasma cell misidentification and nonspecificity may limit the accuracy of these criteria [ncbi.nlm.nih.gov]

"Limitations of the criteria used to diagnose histologic endometritis in epidemiologic pelvic inflammatory disease research". Pathol. Res. Pract. 207 (11): 680–5. doi : 10.1016/j.prp.2011.08.007. PMC 3215901. PMID 21996319. [librepathology.org]

Epidemiology Postpartum endometritis occurs following 1-3% of vaginal births and up to 27% of caesarean sections [ 1 ]. It is 5-20 times more common after caesarean section [ 2 ]. [patient.info]

Pathophysiology

Pathophysiology Polymicrobial material into amniotic fluid V. [fpnotebook.com]

Pathophysiology Infection of the endometrium, or decidua, usually results from an ascending infection from the lower genital tract. From a pathologic perspective, endometritis can be classified as acute versus chronic. [emedicine.medscape.com]

Prevention

To help prevent endometritis from STIs: Treat STIs early. Make sure sexual partners are treated in the case of a STI. Follow safer sex practices, such as using condoms. [medlineplus.gov]

For prevention of an endometritis the exception of accidental sexual bonds without barrier ways of contraception is recommended. It is desirable to use the same type of contraceptives for pregnancy prevention to prevent use of medical abortion. [en.medicalmed.de]

PID is the most common preventable cause of infertility in the United States. Gonorrhea and chlamydia, two sexually transmitted diseases, are the most common causes of PID. Other bacteria can also cause it. [icdlist.com]

Endometritis prevention Endometritis can’t always be prevented. Even so, there are steps you can take that could help reduce your odds of being affected. [baby-pedia.com]

Even if the inflammation is controlled, the sexual life also needs to be controlled to prevent the relapse when pelvic congestion or resistance decline. [global.fuyanpills.com]

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