Post Date June, 25 2023
Acute pelvic inflammatory disease is a common gynecological inflammation. After falling ill, one must immediately go to the hospital for formal examination, and also pay attention to changes in one's body during normal times.
Symptoms of acute discitis
1. When acute inflammation becomes chronic inflammation, scar adhesion and disc congestion may occur. Causing lower abdominal swelling, pain, and lumbosacral pain. Usually occurs after fatigue, sexual activity, or before and after menstruation.
2. Abdominal pain occurs during the onset of the disease, accompanied by fever and chills. If there is peritonitis, bloating, diarrhea, nausea, vomiting.
3. Symptoms of pelvic congestion and increased menstruation. When ovarian function is impaired, menstrual disorders occur. When the fallopian tubes become sticky and blocked, women become infertile.
4. There is the formation of an abscess, with symptoms of lower abdominal mass or local compression stimulation. The patient presented with acute appearance, tension of lower abdominal muscles, temperature rise, heart rate acceleration, abdominal distension, tenderness and rebound pain.
5. Systemic symptoms are often not obvious, sometimes with low fever and easy fatigue. The patient has been ill for a long time, with symptoms of neurasthenia such as lack of energy, physical discomfort, and insomnia. Patients have poor resistance and are prone to acute and subacute attacks.
Acute discitis examination
1. Direct coating of secretions: Samples are taken from vaginal, cervical, urethral, and abdominal fluids (obtained through the posterior fornix, abdominal wall, or laparoscopy), directly coated with a thin layer, dried, and stained with methylene blue or Gram. Those who see Gram negative diplococcus in polymorphonuclear leukocytes are considered gonococcal infections. Because the detection rate of cervical gonorrhea is only 67%, negative smears cannot exclude the presence of gonorrhea, while positive smears are very specific. Microscopic examination of Chlamydia trachomatis can use fluorescein monoclonal antibody dye, and it is positive when a star like flashing fluorescent spot is observed under the fluorescence microscope.
2. Pathogen culture: The source of the sample is the same as before, and it should be immediately or within 30 seconds inoculated on Thayer Martin culture medium, incubated at 35 ℃ for 48 hours, and identified for bacteria through glycolysis. The new and relatively fast Chlamydia enzyme detection has replaced traditional methods for Chlamydia detection, and can also be used for Chlamydia antigen detection through mammalian cell culture, using enzyme-linked immunosorbent assay. The average sensitivity is 89.5%, with a specificity of 98.4%. Other aerobic and anaerobic strains can also be obtained by bacteriology culture, which can be used as the basis for selecting antibiotics.
