Experience from this case suggests that cryptococcal infection should be considered in the differential diagnosis of pregnant women presenting with vague systemic symptoms such as fever, abdominal pain, and generalized lymphadenopathy. [ncbi.nlm.nih.gov]

The most common etiologic agents in septic abortion are those present in the normal flora of the female genital tract. The majority of septic abortions are polymicrobial infections, with participation of both aerobic and anaerobic bacteria. [popline.org]

• Fever

  Fever resolution time Sangines 1969 reported fever resolution time as a measure of effectiveness. [doi.org]

  "Response to treatment was evaluated by the patient's 'fever index' expressed in degree-hour and defined as the total quantity of fever under the daily temperature curve with 99°F (37.2°C) as the baseline".There was no difference in duration of hospitalisation [ncbi.nlm.nih.gov]

  "Response to treatment was evaluated by the patient's 'fever index' expressed in degree-hour and defined as the total quantity of fever under the daily temperature curve with 99°F (37.2°C) as the baseline". [cochrane.org]

• Pain

  Perforation of the uterus during the abortion typically causes severe abdominal pain. Septic shock may result, causing hypothermia, hypotension, oliguria, and respiratory distress. [msdmanuals.com]

  A 27-year-old woman at 10 weeks' gestation developed abdominal pain, fever, leukocytosis, peritoneal signs, closed cervix and a viable pregnancy. Progression from acute salpingitis to septic abortion was documented. [ncbi.nlm.nih.gov]

   Lower abdominal pain for 11 days  Fever for 1 day 3. [slideshare.net]

• Chills

  Soluble fibrin monomer complexes (SFMC) were determined in patients with septic abortion (body temperatures of more than 39 degree C and/or chills without apparent signs of endotoxic shock), with infected abortion, with non-infected abortion and with [ncbi.nlm.nih.gov]

  Symptoms and Signs Symptoms and signs of septic abortion typically appear within 24 to 48 h after abortion and are similar to those of pelvic inflammatory disease (eg, chills, fever, vaginal discharge, often peritonitis) and often those of threatened [msdmanuals.com]

  Self-induced abortion using non-sterile methods Presence of a sexually transmitted infection such as chlamydia As a complication of pregnancy with an intrauterine device (IUD) A septic abortion is likely if a pregnant woman develops a fever with chills [fertilitysmarts.com]

  Clinical features: – pyrexia : associated with the chills and rigors suggest blood stream spread of infection. [infofru.com]

  In a woman with septic abortion, signs and symptoms that are related to the infection are mainly: High fever, usually above 101 °F / 38 °C Chills Severe abdominal pain and/or cramping /or strong perineal pressure Beginning miscarriage symptoms (heavy [en.wikipedia.org]

• Rigor

  Septicemia was defined by a positive blood culture rigors. Hypotension was assumed to be due to hemorrhage unless endotoxic shock was positively identified. Significant hemorrhage was also diagnosed if a blood transfusion was required. [ncbi.nlm.nih.gov]

  Clinical features: – pyrexia : associated with the chills and rigors suggest blood stream spread of infection. [infofru.com]

  • Fever for 1day with no chills and rigor, max temp not recorded. • No h/o burning micturition, and increased frequency • No h/o SOB, palpitation, headache, dizziness and LOC. 4. Obs history: she is P2 A1 L2, 1St child : Fe, 18 yr. [slideshare.net]

• Severe Pain

  If you recently had an abortion and experience any of the following symptoms, seek medical help right away: very high or very low body temperature heavy bleeding severe pain cool, pale arms and legs feelings of confusion, restlessness, or fatigue shaking [healthline.com]

• Dyspnea

  As the condition becomes more serious, signs of septic shock may appear, including: Low blood pressure (hypotension) Low body temperature (hypothermia) Little or no urine output (oliguria) Respiratory distress (dyspnea and labored breathing)Septic shock [en.wikipedia.org]

• Abdominal Pain

  Perforation of the uterus during the abortion typically causes severe abdominal pain. Septic shock may result, causing hypothermia, hypotension, oliguria, and respiratory distress. [msdmanuals.com]

  A 27-year-old woman at 10 weeks' gestation developed abdominal pain, fever, leukocytosis, peritoneal signs, closed cervix and a viable pregnancy. Progression from acute salpingitis to septic abortion was documented. [ncbi.nlm.nih.gov]

• Hypertension

  […] defects diabetes diagnosis disease Doppler dose endometrial cancer endometriosis endometrium estrogen evaluation examination factors fetal fetus fibroid fistula fluid gestational age glucose Gynecology Maulana Azad hemorrhage heparin Hospital New Delhi hypertension [books.google.com]

  The most common causes were hypertensive diseases (20%), postpartum bleeding (19%), and abortion (17%). Eighty per cent of the abortion deaths were known to be from induced abortion. [glowm.com]

• First Trimester Bleeding

  Epidemiology Prevalence : First Trimester Bleeding in 25% of pregnant women III. [fpnotebook.com]

  First-trimester bleeding in a pregnant woman has an extensive differential diagnosis ( Table 2 ) and should be evaluated with a full history and physical examination. [aafp.org]

• Vaginal Bleeding

  […] or incomplete abortion (eg, vaginal bleeding, cervical dilation, passage of products of conception). [msdmanuals.com]

  bleeding with or without the passage of the products of pregnancy (i.e. placenta and fetal parts). [fertilitysmarts.com]

  Infected abortion has an important role in maternal morbidity and mortality (Stubblefield PG, 1994). the diagnosis of infected abortion must be considered when a patient presents a history of delayed menses, vaginal bleeding, abdominal pain and fever [clinicaltrials.gov]

  […] and or cramping) that suddenly stops and does not resume Prolonged or heavy vaginal bleeding Foul-smelling vaginal discharge Backache or heavy back pressureA cold or urinary tract infection may mimic many of the symptoms. [en.wikipedia.org]

• Pelvic Pain

  Signs of this complication include a high fever, pelvic pain, and a foul-smelling vaginal discharge, as well as nausea and vomiting. If the woman is not treated, septicemia can develop as the infection spreads. [wisegeek.com]

  History Quantity and rate of blood loss Bleeding similar or worse than Menstrual Bleeding is associated with Early Pregnancy Loss Pelvic Pain or cramping Exclude Ectopic Pregnancy ! [fpnotebook.com]

  Floor Kari Bo 05 Feb 2015 Hardback 50,98 € 62,50 € Save 11,52 € Add to basket 25% off Chronic Pelvic Pain William Ledger 12 Jan 2015 Paperback 31,43 € 41,99 € Save 10,56 € Add to basket Chronic Pelvic Pain Paolo Vercellini 19 Apr 2011 Paperback 85,89 [bookdepository.com]

  pain, chronic pelvic inflammatory disease, infertility, etc. [doi.org]

  […] abdominal pain and tenderness. [infofru.com]

• Oliguria

  On the other hand, reductions in both clearances were present in most patients who had a long period of oliguria (GFR: 84.9 +/- 4.2 and RPF: 418.1 +/- 33.1). [ncbi.nlm.nih.gov]

  The woman should have intravenous fluids to maintain blood pressure and urine output (Oliguria or hypouresis both names from roots meaning "not enough urine" is the low output of urine). [en.wikipedia.org]

  Septic shock may result, causing hypothermia, hypotension, oliguria, and respiratory distress. [msdmanuals.com]

  Blood transfusion: early and adequate blood transfusion is not only helpful to improve the body resistance and anaemia but is also affective to prevent or minimize shock and oliguria. [infofru.com]

  Abortions induced by untrained birth attendants or dais, lady health visitors; or paramedics in dark rooms end up in sepsis, perforation of the uterus, peritonitis and acute renal failure (oliguria/anuria). [ispub.com]

• Amenorrhea

  المحتويات Section I 1 Section II 207 Index 365 حقوق النشر طبعات أخرى - عرض جميع المقتطفات Case Discussions in Obstetrics and Gynecology YM Mala ‏, Madhavi M Gupta ‏, Swaraj Batra ‏ لا تتوفر معاينة - 2011 عبارات ومصطلحات مألوفة abdominal abnormal adnexal amenorrhea [books.google.com]

  CASE PATIENT PARTICULARS: oName: Lamin Tamang oAge: 36 years/ Fe oAdress: Kavre oAdmitted to Obs& Gynae on 21st Mangsir 2072 at 5:30 pm from Emergency department Chief complaint:  Amenorrhea for 2 months followed by PV bleeding for 11 days after self [slideshare.net]

  […] allergies Perform appropriate physical examination Perform pelvic examination with attention to uterine size and position, other pelvic pathology Obtain ultrasound examination if length of gestation is uncertain, there is a discrepancy between length of amenorrhea [glowm.com]

• Uterine Tenderness

  All study subjects satisfied the following diagnostic criteria: pyrexia of equal to or greater than 38 C, tachycardia equal to or greater than 90/min, foul smelling vaginal discharge, uterine tenderness, adnexal tenderness, peritonitis, or features of [ncbi.nlm.nih.gov]

  Symptoms and signs of abortion‐related infections include fever, pelvic/abdominal pain, prolonged vaginal bleeding, uterine tenderness, foul‐smelling uterine discharge, and elevated inflammatory markers, findings similar to those associated with pelvic [doi.org]

Administer broad-spectrum antibiotics before completing diagnostic workup. [13] Failure to obtain information about recent termination of pregnancy may lead to a wrong diagnosis or delayed/inappropriate treatment. [emedicine.medscape.com]

• Leukocytosis

  A 27-year-old woman at 10 weeks' gestation developed abdominal pain, fever, leukocytosis, peritoneal signs, closed cervix and a viable pregnancy. Progression from acute salpingitis to septic abortion was documented. [ncbi.nlm.nih.gov]

  Figures and Tables - Analysis 4.2 Comparison 4 Tetracycline versus penicillin G, Outcome 2 Leukocytosis resolution time (days). [doi.org]

  Figuras y tablas - Analysis 4.2 Comparison 4 Tetracycline versus penicillin G, Outcome 2 Leukocytosis resolution time (days). [cochranelibrary.com]

  Over the course of the emergency department (ED) stay, the patient became hypotensive and was found to have anemia and leukocytosis requiring a blood transfusion, antibiotics and emergent gynecological intervention. [westjem.com]

The most critical treatment of septic abortion remains the prompt removal of infected tissue. Antibiotic administration and fluid resuscitation provide necessary secondary levels of treatment. [doi.org]

It appears that cefoxitin was successful as a single agent in the treatment of septic abortion. [ncbi.nlm.nih.gov]

Antibiotic treatment is very important for the treatment of septic abortion. The recommended treatments include antibiotics that have effects on different types of bacteria. [cochrane.org]

This study is to evaluate, once again, the clinical management and prognosis of septic abortion, and to determine if present concepts of therapy are valid.The diagnosis of septic abortion is difficult to make with certainty. [nejm.org]

Record: found Abstract: found Article: not found Clostridium bacteremia: emphasis on the poor prognosis in cirrhotic patients. Bacteremic episodes caused by anaerobes are unusual and the clinical importance of Clostridium bacteremia remains unclear. [scienceopen.com]

The most common etiologic agents in septic abortion are those present in the normal flora of the female genital tract. The majority of septic abortions are polymicrobial infections, with participation of both aerobic and anaerobic bacteria. [popline.org]

Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]

The most common etiological organisms were Clostridium perfringens (77%), Clostridium bifermentans (9%), and Clostridium septicum (4%). Only one patient with C. septicum bacteremia had a histocytotoxic infection, which was a fatal gas gangrene. [scienceopen.com]

Etiology and Risk Factors Chromosomal abnormalities are a direct cause of spontaneous abortion. One meta-analysis 9 found that a chromosomal abnormality occurs in 49 percent of spontaneous abortions. [aafp.org]

Epidemiology Prevalence : First Trimester Bleeding in 25% of pregnant women III. [fpnotebook.com]

EPIDEMIOLOGY • Septic abortion remains a primary cause of maternal mortality in the developing world, mostly as a result of illegal abortions • 21.6 million women experience an unsafe abortion worldwide each year; 18.5 million of these occur in developing [slideshare.net]

Epidemiology Frequency United States Frequency of complications depends on gestational age (GA) at the time of miscarriage or abortion and method of abortion (see the Gestational Age from Estimated Date of Delivery calculator). [emedicine.medscape.com]

Thus, updated knowledge of the pathophysiology, clinical presentation, microbes, and proper treatment is needed to optimally treat this emergency condition when it exists. [doi.org]

Pathophysiology Postabortion complications develop as a result of 3 major mechanisms as follows: incomplete evacuation of the uterus and uterine atony, which leads to hemorrhagic complications; infection; and injury due to instruments used during the [emedicine.medscape.com]

Unpublished data from Bangladesh Association for Prevention of Septic Abortion (BAPSA), Dhaka, Bangladesh, 2012. Bangladesh Association for the Prevention of Septic Abortion (BAPSA), M. [freethesaurus.com]

Septic abortion provides a paradigm for preventive medicine, with opportunities for primary, secondary, and tertiary prevention 2 .Scope of the ProblemA 1973 report described an adolescent admitted to a large Boston teaching hospital with what proved [nejm.org]

Prevention Always keep in mind that prevention is better than cure! Therefore, here are a few ways to avoid Septic abortions. 1. Avoid Unintended Pregnancy It’s as simple as this! Use whatever means necessary to do so. [beautyglitch.com]

Septic abortion is a paradigm of preventive medicine, relating to all levels of prevention – primary, secondary, and tertiary. 2 In the past, obstetricians/gynecologists were often the experts in management of sepsis. [glowm.com]

Septic abortion is mostly a preventable condition, and there are ample opportunities for primary, secondary and tertiary prevention. [ispub.com]