Pelvic Inflammatory Disease

May 20, 2015 at 9:07 pm

N Engl J Med 2015;372:2039-2048

REVIEW ARTICLE

R.C. Brunham, S.L. Gottlieb, and J. Paavonen

From the Department of Medicine, University of British Columbia, Vancouver, Canada (R.C.B.); the Department of Reproductive Health and Research, World Health Organization, Geneva (S.L.G.); and the Department of Obstetrics and Gynecology, University of Helsinki, Helsinki (J.P.).

Address reprint requests to Dr. Brunham at the Department of Medicine, University of British Columbia, 655 West 12th Ave., Vancouver, BC V5Z 4R4, Canada, or at robert.brunham@bccdc.ca

Pelvic inflammatory disease is an infection-induced inflammation of the female upper reproductive tract (the endometrium, fallopian tubes, ovaries, or pelvic peritoneum); it has a wide range of clinical manifestations.

Inflammation spreads from the vagina or cervix to the upper genital tract, with endometritis as an intermediate stage in the pathogenesis of disease.

The hallmark of the diagnosis is pelvic tenderness combined with inflammation of the lower genital tract; women with pelvic inflammatory disease often have very subtle symptoms and signs.

Many women have clinically silent spread of infection to the upper genital tract, which results in subclinical pelvic inflammatory disease….

PDF

http://www.nejm.org/doi/pdf/10.1056/NEJMra1411426

Entry filed under: Antimicrobianos, Bacterias, Biología Molecular, Epidemiología, Infecciones de transmision sexual, Infecciones Gin/Obs, Infecciones intraabdominales, Metodos diagnosticos, REVIEWS, Update. Tags: .

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