Reyes-Hurtado A, Ramírez JC

Idioma: Español
Referencias bibliográficas: 19
Paginas: 194-197
Archivo PDF: 117.16 Kb.

RESUMEN

La enfermedad pélvica inflamatoria es un padecimiento del tracto genital femenino y motivo frecuente de consulta en ginecología. El diagnóstico se consigue con la combinación de los procedimientos clínicos, de laboratorio y quirúrgicos. Para su tratamiento, la elección apropiada de los antibióticos es esencial, ya que es una entidad polimicrobiana que generalmente incluye diferentes tipos de gérmenes aerobios, anaerobios, Gram positivos o Gram negativos. El caso que se presenta a continuación tiene una de las bacteria aisladas menos frecuentes en la enfermedad inflamatoria pélvica, el Haemophilus influenzae.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Wiesenfeld HC, Sweet RL, Ness RB, Krohn M, Amortegui A, Hillier S. Comparison of acute and subclinical pelvic inflammatory disease. Sex Transm Dis 2005; 32: 400-5.

2. Ness RB, Kip KE, Hillier SL, David SE, Stamm CA, Sweet RL. A cluster analysis of bacterial vaginosis-associated microflora and pelvic inflammatory disease. Am J Epidemiol 2005; 162: 585-90.

3. Cohen CR, Mugo NR, Astete SG, Odondo R, Manhart LE, Kiehibauch JA et al. Detection of Mycoplasma genitalium in women with laparoscopically diagnosed acute salpingitis. Sex Transm Infect 2005; 81: 463-6.

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5. Short VL, Totten PA, Ness RB, Astete SG, Kesley SF, Haggerty CL. Clinical presentation of Mycoplasma genitalium infection versus Neisseria gonorrhoeae infection among women with pelvic inflammatory disease. Clin Infect Dis 2009; 48: 41-7.

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12. Peipert JF, Ness RB, Blume J, Spoer D E, Holley R, Randall H et al. Clinical predictors of endometritis in women with symptoms and signs of pelvic inflammatory disease. Am J Obstet Gynecol 2001; 184: 856-63.

13. Gaitán H, Ángel E, Díaz RA, Sánchez L, Vargas CL. Accuracy of five different diagnostic techniques in mild-to-moderate pelvic inflammatory disease. Infect Dis Obstet Gynecol 2002; 10: 171-80.

14. Haggerty CL, Ness RB, Amortegui A, Hendrix SL, Hiller SL, Holley RL et al. Endometritis does not predict reproductive morbidity after pelvic inflammatory disease. Am J Obstet Gynecol 2003; 188: 141-8.

15. Ness RB, Soper DE, Holley RL, Peipert J, Randall H, Sweet RL et al. Effectiveness of inpatient and outpatient treatment strategies for women with pelvic inflammatory disease: results from the Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) Randomized Trial. Am J Obstet Gynecol 2002; 186: 929-37.

16. Ness RB, Hillier SL, Kip KE, Soper DE, Satmm CA, McGregor JA et al. Bacterial vaginosis and risk of pelvic inflammatory disease. Obstet Gynecol 2004; 44: S111-22.

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19. McGregor JA, Crombleholme WR, Newton E, Sweet RL, Tuomala R, Gibs RS. Randomized comparison of ampicillin-sulbactam to cefoxitin and doxycycline or clindamycin and gentamicin in the treatment of pelvic inflammatory disease or endometritis. Obstet Gynecol 1994; 83: 998-1004.