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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The study reports the C-reactive protein (CRP) plasma concentrations in 115 women with a presumed diagnosis of acute adnexitis. In addition to CRP, blood sedimentation rate, white blood cell count and the body temperature were evaluated and compared with the clinical findings. Diagnosis was confirmed or excluded by laparoscopy (n = 69) or laparotomy (n = 9). Clinical examinations and conventional laboratory examinations were of limited value in the diagnosis of acute adnexitis. In contrast, CRP was a highly sensitive indicator of inflammatory pelvic disease. Furthermore, the CRP determination was superior in assessing the efficacy of an antibiotic treatment.
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PMID:C-reactive protein is a marker for the diagnosis of adnexitis. 197 99

C-reactive protein, synthesized by the liver, belongs to the group of proteins in the acute stage of inflammation. It has a very short half life of 6 to 8 hours with rapid evolution kinetics. The CRP level has been measured 959 times by the immuno-turbidimetric method in 500 in-patients of the Gynaecology Department of Claude Bernard Hospital. It was measured every 48 hours. The CRP level increases in the immediate post-operative period, reaches its maximum on D3 and falls back to normal between D5 and D7. The CRP level seems to be the most reliable parameter for the diagnosis of pelvic infections (namely salpingitis). It represents the best criterium to assess the effectiveness of the treatments administered to the infected patients (adnexitis, post-operative complications).
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PMID:[The significance of the level of C-reactive protein in gynecologic infections]. 226 34

The group of patients discussed here comprises 51 women admitted to hospital with diagnosed adnexitis. Twenty-seven patients whose diagnosis was confirmed by the correlation of pathologic laboratory parameters with examination findings or by laparoscopy or laparatomy were defined as adnexitis-positive. Apart from clinical examination findings, the evaluation analysis also included blood sedimentation rate, leukocytes and body temperature, as well as the acute-phase proteins C-reactive protein, orosomucoid, and haptoglobin. It was found that both clinical examination findings and normal laboratory parameters, as they have been set up to the present in normal clinical routine, were only partially useful in the diagnosis of an inflammatory adnexal lesion. Ultrasonic examination findings resulted in unequivocally positive or negative findings in roughly one-half of the cases. In contrast, the 27 inpatients receiving treatment for adnexitis had pathologically increased levels of C-reactive protein. In all 24 cases in which an inflammatory adnexal lesion was ruled out, a normal concentration (less than 0.6 mg/dl) of the same protein was found. Similarly good results were arrived at in the analysis of orosomucoid and haptoglobin. By means of follow-up controls of the acute-phase proteins, as opposed to measurement of BSR and leukocyte count, the success of treatment could also be determined unequivocally. For routine clinical procedures analysis of the inflammation marker C-reactive protein seems to be sufficient, since no additional information about the inflammatory lesion was obtained by assay of the other acute-phase proteins.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Acute phase proteins (C-reactive protein, orosomucoid, haptoglobin)--specific markers in the diagnosis of inflammatory adnexal diseases]. 408 63