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Monochorionic diamniotic twin cervical ectopic pregnancy following assisted conception: a case report.

BACKGROUND: Ectopic pregnancy is a leading cause of maternal mortality. Its incidence has progressively increased in recent years. Assisted … he cervix. Serum beta-hCG concentration was 18,470 IU/L, and she reported only a mild brown-stained vaginal discharge. She was counseled regarding the risks of this pregnancy and was managed medically, receiving oral mifepristone and systemic methotrexate. She was subsequently monitored with serial serum beta-hCG measurements and transvaginal ultrasonography. After …

Newborn retinal hemorrhages: a systematic review.

PURPOSE: To systematically review the characteristics, prevalence, evolution, and obstetric associations of retinal hemorrhages (RH) in newborns. METHODS: A systematic review, searching 10 databases (1970-2011), identified 45 studies, which underwent two independent reviews via the use of standardized critical appraisal. Studies meeting the following criteria were included: examination by an ophthalmologist, use indirect ophthalmoscopy, and first examination conducted within 96 hours of birth and before hospital discharge. RESULTS: Thirteen studies were included, representing 1,777 infants.

Ассоциация антихламидийских антител с эктической беременностью в городе Бенин, Нигерия: тематическое исследование.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Одной из основных проблем здравоохранения по-прежнему является проблема ранней беременности, особенно во многих развивающихся странах, где она в значительной степени способствует росту заболеваемости и смертности в связи с беременностью. ЦЕЛЬ: определить связь между предыдущей хламидией трахоматисом и риском эктической беременности. МЕТОДЫ: Тематическое исследование двух учреждений третичной медицинской помощи в городе Бенин, Нигерия. Девяносто восемь женщин с внематочной беременностью (дело) и еще 98 женщин с несложной внутриматочной беременностью (контролирование), сов

Совпадение в аннотации оригинала
BACKGROUND: Ectopic pregnancy remains a major public health problem especially in many developing countries where it is a significant contri … - 17.3), three or more lifetime sexual partners (OR = 5.71; CI, 2.39 - 13.65) and prior history of vaginal discharge (OR = 5.00; CI, 2.03 - 12.3) were more likely to be associated with ectopic pregnancy than with the presence of antibodies to Chlamydia trachomatis (OR = 2.82; 95% CI, 1.33 - 5.95). The Population Attributable Risk was 30.9%. CONCLUSION: Chlamydial …

Detection of abnormal cervical cytology in Papanicolaou smears.

BACKGROUND: Cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant condit … Obstetrics and Gynaecology. Pap smears were prepared from patients presenting with complaints like vaginal discharge, post-coital bleeding, inter-menstrual bleeding, dyspareunia, and pain lower abdomen. After fixation and staining, each smear was carefully examined. RESULTS: Epithelial cell abnormalities were found in 5% smears, atypical squamous cells of undeter …

Mycoplasma genitalium: an emerging sexually transmitted pathogen.

Mycoplasma genitalium is a member of genital mycoplasmas, which is emerging as an important causative agent of sexually transmitted infectio … le studies have also shown a positive association of M. genitalium with mucopurulent cervicitis and vaginal discharge in females as well. The evidences for M. genitalium pelvic inflammatory diseases and infertility are quite convincing and indicate that this organism has potential to cause ascending infection. Lack of clear association with M. genitalium has been r …

Brucellosis due to Brucella suis in a swine herd associated with a human clinical case in the State of São Paulo, Brazil.

Brucella suis has been recognized as the major etiological agent of human brucellosis in areas free from Brucella melitensis infection. However, with changes in swine management, the occurrence of swine brucellosis has decreased as has the human incidence of B. suis infection. A swine brucellosis outbreak within a herd from Jaboticabal (São Paulo, Brazil) was detected in July 2006. The herd comprised approximately 300 sows and 1,500 finishing animals. Many sows within this herd experienced abortions, while others exhibited vaginal discharge; three sows suffered posterior paralysis. Among 271 s…

Impact of mode of delivery on markers of perinatal hemodynamics in infants with hypoplastic left heart syndrome.

OBJECTIVE: To determine whether the mode of delivery of infants prenatally diagnosed with hypoplastic left heart syndrome (HLHS) affects markers of perinatal hemodynamics. STUDY DESIGN: A retrospective review of patients diagnosed prenatally with HLHS and delivered within our institution was undertaken. Arterial blood gases, echocardiographic data, and markers of end organ function were compared based on route of delivery. RESULTS: A total of 79 infants with HLHS were enrolled between January 2002 and December 2008. The infants delivered by elective cesarian delivery (CD) had younger gestati

ThinPrep Pap test of endocervical adenocarcinoma with lymph node metastasis: report of a case in a 17-year-old woman.

Endocervical adenocarcinoma is an uncommon malignancy that is composed of multiple subtypes and accounts for approximately 15% of all cervical cancers. In this article, we describe the cytomorphology and differential diagnosis of an AJCC clinical stage IIIb, FIGO IB2 endocervical adenocarcinoma in a 17-year-old woman in a ThinPrep Pap test.The patient was a 17-year-old G0P0 white woman with no significant past medical history and no prior history of cervical dysplasia. She presented to her physician with a putrid vaginal discharge. A sample was sent to cytology that was interpreted as atypical…

An assessment of risk behaviours to HIV/AIDS vulnerability among young female garment workers in Bangladesh.

This study attempted to assess the risk behaviours for HIV/AIDS among female garment workers aged 15-24 years.A total of 300 garment workers in Dhaka city were assessed with a semi-structured interview. Their knowledge of HIV/AIDS was moderate with high rates of misperception regarding modes of transmission. Further, symptoms of possible sexually transmitted infections (STIs) such as genital ulcer disease and vaginal discharge were prevalent, and risk behaviours such as low use of condoms, multiple sex partners and drug abuse were also found. Logistic regression identified that women who sourc…

Human and animal isolates of Pseudallescheria boydii and Scedosporium species, from Melbourne, Australia, 1977-1995.

From 1977 to 1995, 25 of the fungal cultures referred to the Microbiological Diagnostic Unit Public Health Laboratory at The University of M … suffered with acute myelogenous leukaemia and died with disseminated infection. An isolate from the vaginal discharge of a horse with an infected uterus was identified as S. apiospermum. Isolates from aseptically collected milk samples from a goat and a cow with histories of mastitis, were identified as P. boydii. This study records the spectrum of infections cause …

Gynaecological morbidities among adolescents in Ibadan.

A descriptive retrospective study, was conducted on adolescent girls (10 to 19 years) at the University College Hospital (UCH), Ibadan to de … adolescents presented within the study period. The commonest gynaecological complaint was abnormal vaginal discharge (44.4%) while the least was breast lump (1.7%). The commonest gynaecological diagnosis was reproductive tract infection (62.6%), out of which sexually transmitted infections constituted 40%. Infertility (1%) was the least diagnosed condition. Other …

Pelvic inflammatory disease.

Pelvic inflammatory disease (PID) is an infection-caused inflammatory continuum from the cervix to the peritoneal cavity. Most importantly, … nly absent in women with confirmed PID. Clinicians should consider milder symptoms such as abnormal vaginal discharge, metrorrhagia, postcoital bleeding, and urinary frequency as potential symptoms associated with the disease, particularly in women at risk of sexually transmitted infection. The diagnosis of PID is based on the findings of lower genital tract inflam …

Epithelioid cotyledonoid dissecting leiomyoma: a case report and review of the literature.

A 63-year-old mother of two, presented with blood-stained vaginal discharge and right sided lower abdominal pain. A MRI examination confirmed a right parametrial mass, abutting the lateral margin of the uterus and the patient had a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histological examination diagnosed a cotyledonoid leiomyoma, but with a new epithelioid variant. Cotyledonoid leiomyom's usually have a large, fungating appearance and demonstrate apparent widespread infiltrative growth and extension into the pelvic cavity, broad ligament and retroperitoneal space whi…

Nasal colonization among premature infants treated with nasal continuous positive airway pressure.

We examined the relationship between the use of nasal continuous positive airway pressure (CPAP) and nasal colonization among low-birth-weight (LBW) infants. We prospectively cultured the nares of LBW infants on admission and weekly until hospital discharge. The modality of respiratory support during each culture was recorded. Bivariate and multivariate analyses were conducted to test the relationship between CPAP and nasal colonization. Analyses were repeated after stratifying infants into three birth-weight categories: 1500 to 2499 g, 1000 to 1499 g, and < 1000 g. In total, 766 nasal culture

Cross-sectional reporting of previous Cesarean birth was validated using longitudinal linked data.

OBJECTIVE: The aim of this study was to demonstrate the feasibility of using linked health records to assess data quality in population health data. STUDY DESIGN AND SETTING: Reproductive histories of 155,897 women were constructed by longitudinal linkage of the New South Wales (Australia) birth records in 1998-2005, and 127,952 birth and hospital discharge records in 2000-2005 were cross-sectionally linked. History of Cesarean section (CS) derived from the longitudinal linkage ("gold standard") was used to validate the CS history fields (i.e., "Was the last birth by Cesarean section?" and "T

[Urogenital chlamydial infections in women and men].

Genital infections with Chlamydia trachomatis occur in all social groups in Germany. About 100,000 German women are sterile because of tubal scarring due to chlamydiae. Genital chlamydial infections are asymptomatic in 70% of patients, even if salpingitis occurs. Typical symptoms of chlamydial infection are purulent cervicitis with vaginal discharge, painful cervical bleeding because of endometritis, lower abdominal pain with dyspareunia, and upper abdominal pain because of perihepatitis. DNA amplification tests on first voided urine or cervical swab are the most sensitive routine tests. Speci…

Collection of tissue and culture samples from the canine reproductive tract.

Definitive diagnosis of reproductive tract infection or other disease often requires sampling of tissue, either for culture or histopathology. Indications, sample collection technique, possible side-effects and interpretation of results are reviewed. Pertinent facts include: (1) collection of uterine biopsy specimens via laparotomy was associated with higher yield of diagnostic samples and fewer side-effects than other less invasive techniques; (2) vaginal culture samples should be collected from the anterior vagina to minimize number of contaminants in the sample; (3) collection of culture sa

Congenital candidiasis: a rare and unpredictable disease.

We present a full-term female infant with congenital candidiasis characterized by extensive vesicular and pustular skin lesions associated with pneumonia and severe respiratory distress that appeared during the first hours after birth. The patient was born by cesarean section with no history of rupture of membranes. The mother had a vaginal discharge 3 weeks before delivery. The diagnosis was made by culture of pustular fluid, which grew Candida albicans. Systemic cultures were negative. The infant required a very brief course of conventional mechanical ventilation in spite of impressive and e…

Computed tomographic features of tuboovarian abscess.

OBJECTIVE: To describe the spectrum and frequency of computed tomographic (CT) features in tuboovarian abscess (TOA) in order to increase th … th lower abdominal pain. Additional clinical signs of TOA, such as a palpable abdominal mass (23%), vaginal discharge (27%) and fever (36%), were less common. On tomography the majority of TOAs were unilateral (73%) and multilocular (89%) and had fluid density (95%) and a thick, uniform, enhancing wall (95%). Other common CT findings were thickening of the mesosalp …

The medical practice of the sexed body: women, men and disease in Britain , circa 1600-1740.

Although it has been widely argued that pre-Enlightenment western medicine ascribed to a one-sex (male) model of the body, this theory has n … ifferences which were based upon the sex of the patient. Due to its unique physiological functions (vaginal discharge, menstruation, pregnancy, and lactation), the female body was considered by practitioners to be capable of manifesting, transmitting, and responding to disease and treatment in ways that the male body could not. This awareness provided practitioners …