High-risk patients, such as those with
puerperal infection at the primary cesarean section and those on public assistance, had more adhesions.
We report two cases of TSS with
puerperal infection that could be diagnosed at the early stage of the clinical course by detecting a marked expansion of T-cell-receptor V[beta]2-positive T cells, as measured by flow cytometric analysis.
(8-11) Comorbidities such as HIV, severe anemia and gestational diabetes are also associated with higher rates of
puerperal infection, particularly surgical wound infection.
In obstetrics, there are now specific codes for different types of
puerperal infection and a requirement for more diagnostic information when a patient has venous complications during pregnancy and intrapartum.
Pyometra, a collection of pus in the uterine cavity, is rare, with a reported incidence of 0.5% in gynecologic patients, including those with cancer.(5) The etiology of pyometra is varied, as it is associated with any condition causing cervical occlusion.(6)(7) The most common cause is malignancy of the uterus and true pelvis; other causes include benign tumors of the pelvis (leiomyomata, polyps), traumatic operations on the cervix (conization), radiation cervicitis, atrophic cervicitis, congenital anomalies, and
puerperal infection.(6)(7) The typical symptoms of pyometra include uterine enlargement, cramping, vaginal discharge, acute abdominal pain, and postmentopausal bleeding.(8) Spontaneous rupture of a pyometra is an uncommon complication.(8)(9)(10)(11)
Loach argues, for instance, that the death of Edward's mother Jane Seymour was caused, not by a
puerperal infection, but by a catastrophic vaginal hemorrhage, possibly caused by retention of part of the placenta in the womb.
Puerperal disorders; fever;
puerperal infection; logistic models.
One could easily die of malaria or
puerperal infection for lack of cheap, effective medicines, but condoms of every description were available free and came attached to aid packages.
Table 3.2: Mulago Hospital One-Day Census, Ten Most Frequent Diagnoses Diagnosis Number of Patients Pulmonary TB 176 Cancers 113 Malaria 64 Normal Delivery 54 Complications: labor 36 AIDS 24
Puerperal infection 23 Cystitis 16 Measles 15 Malnutrition 49 Source: J.