Pelvic inflammatory disease in adolescents

Neville Golden, Sol Neuhoff, Harris Cohen

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Clinical, laboratory, and sonographic data were collected prospectively from 100 female adolescents hospitalized with acute pelvic inflammatory disease (PID). The endocervical isolation rates for Chlamydia trachomatis and Neisseria gonorrhoeae were 44.7% and 36.4%, respectively. In comparison with adolescents with chlamydia-associated PID, those with gonococcus-associated PID had a shorter duration of pain before admission (p<0.05), higher mean maximum temperatures (p<0.01), and higher leukocyte counts (p<0.01). Pelvic ultrasound studies showed adnexal enlargement or tubo-ovarian abscess (TOA) in 85.2% of the patients. Of the 88 adolescents in whom adequate sonograms were obtained, 17 (19.3%) had TOA. In 12 of the 17 adolescents, the abscesses were identified sonographically before being diagnosed clinically. With clinical criteria alone, only the leukocyte count and prior history of PID differed significantly between those with TOA and those with uncomplicated PID. These findings support a more liberal use of pelvic ultrasound studies in teenagers with PID. Our high detection rate of C. trachomatis and the difficulty in predicting the cause of the infection in an individual patient support treating all adolescents with PID with agents effective against both C. trachomatis and N. gonorrhoeae.

Original languageEnglish (US)
Pages (from-to)138-143
Number of pages6
JournalThe Journal of Pediatrics
Volume114
Issue number1
DOIs
StatePublished - Jan 1 1989
Externally publishedYes

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Pelvic Inflammatory Disease
Abscess
Neisseria gonorrhoeae
Chlamydia trachomatis
Leukocyte Count
Chlamydia
Pain
Temperature
Infection

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Pelvic inflammatory disease in adolescents. / Golden, Neville; Neuhoff, Sol; Cohen, Harris.

In: The Journal of Pediatrics, Vol. 114, No. 1, 01.01.1989, p. 138-143.

Research output: Contribution to journalArticle

Golden, Neville ; Neuhoff, Sol ; Cohen, Harris. / Pelvic inflammatory disease in adolescents. In: The Journal of Pediatrics. 1989 ; Vol. 114, No. 1. pp. 138-143.
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