Predictors associated with severity of pelvic actinomycosis

Aim:  To evaluate the clinical features of pelvic actinomycosis and to identify predictive factors associated with severity of pelvic actinomycosis. Material and Methods:  Medical records of 25 patients diagnosed with pelvic actinomycosis and treated by surgery between September 1994 and March 2010...

Full description

Saved in:
Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2011-12, Vol.37 (12), p.1792-1796
Main Authors: Koo, Yu-Jin, Kwon, Yong-Soon, Shim, Jae-Uk, Mok, Jung-Eun
Format: Article
Language:English
Subjects:
Actinomycosis - diagnosis
Actinomycosis - surgery
Adult
benign disease of ovary and fallopian tubes
benign disease of uterus
C-Reactive Protein
endometriosis/pelvic pain
Female
Humans
infection
Middle Aged
Pelvic Inflammatory Disease - diagnosis
Pelvic Inflammatory Disease - surgery
Retrospective Studies
Risk Factors
Severity of Illness Index
surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aim:  To evaluate the clinical features of pelvic actinomycosis and to identify predictive factors associated with severity of pelvic actinomycosis. Material and Methods:  Medical records of 25 patients diagnosed with pelvic actinomycosis and treated by surgery between September 1994 and March 2010 at Cheil General Hospital and Women's Healthcare Center were reviewed retrospectively. Results:  Of the 25 patients, 15 (60%) had mild pelvic actinomycosis with adhesion and abscess but no complications. The other 10 patients (40%) had an aggressive state of pelvic actinomycosis accompanied by diverse complications, such as hydroureter, abscess rupture, bowel obstruction and cystoenteric fistula. The aggressive actinomycosis correlated with fever, higher neutrophil percentage and a higher white blood cell count to hemoglobin ratio compared to those with mild pelvic actinomycosis. However, there were no significant differences in the use of intrauterine devices, C‐reactive peptide level or mass size between those with mild and aggressive pelvic actinomycosis. Conclusion:  Using the clinical factors, such as fever, neutrophil percentage and white blood cell count to hemoglobin ratio, the surgeons can more accurately predict the severity of pelvic actinomycosis, thus being helpful for more proper disease management.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2011.01608.x