دورية أكاديمية
أعرض في EDS

Tubo-Ovarian Abscesses in Nonsexually Active Adolescent Females: A Large Case Series.

التفاصيل البيبلوغرافية
العنوان: Tubo-Ovarian Abscesses in Nonsexually Active Adolescent Females: A Large Case Series.
المؤلفون: Hakim J; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas., Childress KJ; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas., Hernandez AM; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas. Electronic address: angelah@bcm.edu., Bercaw-Pratt JL; Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
المصدر: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2019 Aug; Vol. 65 (2), pp. 303-305. Date of Electronic Publication: 2019 Jun 10.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Elsevier, c1991-
مواضيع طبية MeSH: Adnexal Diseases*/surgery , Comorbidity*, Abscess/*diagnostic imaging , Abscess/*epidemiology, Abdominal Pain/etiology ; Abscess/complications ; Adolescent ; Adult ; Anti-Bacterial Agents/therapeutic use ; Congenital Abnormalities/diagnosis ; Female ; Fever/etiology ; Humans ; Kidney/abnormalities ; Kidney Diseases/congenital ; Kidney Diseases/diagnosis ; Retrospective Studies ; Ultrasonography ; Vomiting/etiology ; Young Adult
مستخلص: Purpose: The aim of the study was to review the incidence, presentation, and management of tubo-ovarian abscesses (TOA) in nonsexually active (NSA) adolescents.
Methods: A retrospective chart review was performed at a single children's hospital. We evaluated self-reported NSA females aged < 21 years diagnosed with TOA. Demographics, presenting symptoms, medical history, laboratory studies, imaging, and treatment were reviewed.
Results: Sixteen NSA females met inclusion criteria, with one patient presenting with two separate TOAs. Mean age at diagnosis was 14.6 ± 1.8 years; all were menarchal. Presenting symptoms included abdominal pain (88%), fever (76%), and vomiting (53%). Eleven patients (65%) received transabdominal pelvic ultrasound, 2 (12%) had magnetic resonance imaging of pelvis, and 11 (65%) had computed tomography of abdomen/pelvis. All patients had negative gonorrhea and chlamydia testing. Thirteen (76%) had comorbid disease including obstructed hemivagina ipsilateral renal agenesis, active or recent appendicitis, or genitourinary tract anomalies. Sixteen cases underwent drainage via interventional radiology or surgery. Twelve cases (71%) had TOA fluid cultured; five (29%) grew Escherichia coli species. All cases received intravenous antibiotics, and 88% of cases continued outpatient oral antibiotics.
Conclusions: Although uncommon in NSA females, patients with underlying comorbidities may be at increased risk for TOA formation. Providers should consider the diagnosis of TOA even in NSA females.
(Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
التعليقات: Comment in: J Adolesc Health. 2019 Aug;65(2):175-176. (PMID: 31331539)
فهرسة مساهمة: Keywords: Adolescent; Non-sexually active; Tubo-ovarian abscess; Virgin
المشرفين على المادة: 0 (Anti-Bacterial Agents)
SCR Disease Name: Hereditary renal agenesis
تواريخ الأحداث: Date Created: 20190615 Date Completed: 20200818 Latest Revision: 20200818
رمز التحديث: 20240628
DOI: 10.1016/j.jadohealth.2019.02.009
PMID: 31196784
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1972
DOI:10.1016/j.jadohealth.2019.02.009