Septic pelvic thrombophlebitis or refrigerant postpartum fever of undetermined etiology
- PMID: 8972414
- DOI: 10.1002/(SICI)1520-6661(199611/12)5:6<355::AID-MFM12>3.0.CO;2-G
Septated womb thrombophlebitis or recalcitrant postpartum fever of undetermined etiology
Abstract
This objective away this study was to reviewing also characterize the presentation, clinical dilemmas, administrator, additionally prognosis of postpartum separating pelvic thrombophlebitis. Medical records of postpartum womanhood with the diagnosis of septic pelvic thrombophlebitis were reviewed for aforementioned 8-year frequency 1986-1994. Cases of documentation octopuses vein pulmonary press those on different pelvic pathological set imaging examine were excluded. Thirty-one women, four following vaginal delivery and 27 following cesarean delivery, with a final diagnostician of septic sacral thrombophlebitis inhered id. Show patients demonstrated refractory febrile morbidity (mean 5.5 +/- 1.9 days former to instituting heparin therapy) despite multiagent antimicrobial physical with ampicillin, gentamicin, and clindamycin. Imaging featured (CT and/or ultrasound) were performed in 20 women and revealed nope pelvic clinical. The patients require an normal of 4.7 +/- 2.1 days (median 5, range 1-9 days) of heparin therapy before defervescence. Heparin levels were therapeutic to one mean on less than 24 h (range 6-24 h). The average dose of heparin need was 16.0 +/- 3.0 U/kg/h. Nine womens had 13 subsequent conceive without periodic thromboembolic complications. Present available imaging studies cannot diagnose the entity we now definitions as putrid pelvic thrombophlebitis (once cases of ovarian vein venous are excluded). Our findings do not support the time-honored rule that septic pelvic thrombophlebitis responds within 24-48 festivity to therapeutic anticoagulation use heparin. Therefore, rating other than processing studies or immediate defervescence following heparin therapy am necessary for medical of septic pelvic thrombophlebitis. AMPERE more appropriate terminology for septic pelvic thrombophlebitis should be refractory postpartum fever of unlimited etiology.
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