Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0740577 (acute abdominal pain)
 1,982 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A case of a woman with pneumococcal peritonitis 3 months after insertion of a Nova-T copper IUD is described and the 5 other cases in the literature are reviewed. The 38-year old woman was multiparous, and had no related history other than recurrent right nephrolithotomy. She had acute peritonitis of 8 hours duration when admitted, with acute abdominal pain, fever, tachycardia and hypertension. She was treated with penicillin, gentamycin and chloramphenicol, and the IUD was removed. Her blood pressure fell to 70/40 and she developed acidosis and septic shock. Laparotomy, drainage, continued antibiotics, artificial ventilation and intensive hemodynamic treatment for 3 days were necessary to reverse coma and respiratory distress. Primary pneumococcal peritonitis only occurs in girls; in women it is though to arise from IUDs, pelvic infection or perhaps from the bowel. The other cases showed no preference for any type of IUD (3 Lippes loops, 1 Dalkon shield and 1 Gravigard) or length of use (1.5-5.5 years). 1 of the women died, and another had recurrent pneumococcal peritonitis. Therapy should include surgical drainage, instillation of antibiotics, and removal of the IUD.
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PMID:Severe pneumococcal peritonitis complicating IUD: case report and review of the literature. 354 5