Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis
Background/Aims This study aimed to investigate co-occurrence and clinical characteristics of sexually transmitted infections (STIs) and pelvic inflammatory disease (PID) in women hospitalized for acute pyelonephritis (APN). Methods This single-center retrospective study reviewed medical records of...
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The Korean Association of Internal Medicine
2025-05-01
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| Series: | The Korean Journal of Internal Medicine |
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| Online Access: | http://kjim.org/upload/kjim-2024-213.pdf |
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| author | Mi-Hee Kim Hyojin Ahn Soyeon Kang Ahra Lee Seong-Heon Wie |
| author_facet | Mi-Hee Kim Hyojin Ahn Soyeon Kang Ahra Lee Seong-Heon Wie |
| author_sort | Mi-Hee Kim |
| collection | DOAJ |
| description | Background/Aims This study aimed to investigate co-occurrence and clinical characteristics of sexually transmitted infections (STIs) and pelvic inflammatory disease (PID) in women hospitalized for acute pyelonephritis (APN). Methods This single-center retrospective study reviewed medical records of inpatients with APN from January 2019 to February 2023 and identified records of 142 patients who were referred to a gynecologist to evaluate gynecological diseases including STIs. Results Of the 142 patients, 47 were tested positive for sexually transmitted pathogens in nucleic acid amplification testing, confirming the presence of STIs. In patients with APN, those with STIs were more likely to have lower abdominal pain or cervical motion tenderness (CMT) on pelvic examination and leukocytosis (> 14.5 × 109/L) than those without STIs. Of the 93 patients who underwent pelvic examination, 34 had CMT with one or more of additional criteria for the clinical diagnosis of PID, such as abnormal vaginal discharge and leukorrhea confirmed by microscopic examination, which could be clinically diagnosed as PID. Conclusions In sexually active women with APN, it is important to evaluate the possibility of STIs and PID, considering several risk factors such as lower abdominal pain, abnormal vaginal discharge, CMT, and leukocytosis. |
| format | Article |
| id | doaj-art-e1b8f8d3aa5f4758b194da3d1da45793 |
| institution | OA Journals |
| issn | 1226-3303 2005-6648 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | The Korean Association of Internal Medicine |
| record_format | Article |
| series | The Korean Journal of Internal Medicine |
| spelling | doaj-art-e1b8f8d3aa5f4758b194da3d1da457932025-08-20T02:32:18ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482025-05-0140348249010.3904/kjim.2024.213171022Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritisMi-Hee Kim0Hyojin Ahn1Soyeon Kang2Ahra Lee3Seong-Heon Wie4 Division of Infectious Diseases, Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Division of Infectious Diseases Department of Internal Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Obstetrics and Gynecology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Obstetrics and Gynecology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Division of Infectious Diseases, Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaBackground/Aims This study aimed to investigate co-occurrence and clinical characteristics of sexually transmitted infections (STIs) and pelvic inflammatory disease (PID) in women hospitalized for acute pyelonephritis (APN). Methods This single-center retrospective study reviewed medical records of inpatients with APN from January 2019 to February 2023 and identified records of 142 patients who were referred to a gynecologist to evaluate gynecological diseases including STIs. Results Of the 142 patients, 47 were tested positive for sexually transmitted pathogens in nucleic acid amplification testing, confirming the presence of STIs. In patients with APN, those with STIs were more likely to have lower abdominal pain or cervical motion tenderness (CMT) on pelvic examination and leukocytosis (> 14.5 × 109/L) than those without STIs. Of the 93 patients who underwent pelvic examination, 34 had CMT with one or more of additional criteria for the clinical diagnosis of PID, such as abnormal vaginal discharge and leukorrhea confirmed by microscopic examination, which could be clinically diagnosed as PID. Conclusions In sexually active women with APN, it is important to evaluate the possibility of STIs and PID, considering several risk factors such as lower abdominal pain, abnormal vaginal discharge, CMT, and leukocytosis.http://kjim.org/upload/kjim-2024-213.pdfpyelonephritispelvic inflammatory diseasesexually transmitted infection |
| spellingShingle | Mi-Hee Kim Hyojin Ahn Soyeon Kang Ahra Lee Seong-Heon Wie Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis The Korean Journal of Internal Medicine pyelonephritis pelvic inflammatory disease sexually transmitted infection |
| title | Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis |
| title_full | Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis |
| title_fullStr | Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis |
| title_full_unstemmed | Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis |
| title_short | Clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis |
| title_sort | clinical approach to sexually transmitted infections and pelvic inflammatory disease in women with acute pyelonephritis |
| topic | pyelonephritis pelvic inflammatory disease sexually transmitted infection |
| url | http://kjim.org/upload/kjim-2024-213.pdf |
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