This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on ISI (5)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Emergency Medicine  • Substance Abuse/ Alcoholism  • Alert me on articles by topic

Arch Pediatr Adolesc Med. 1999;153:91-92.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Teenagers account for 15% to 20% of the cases of pelvic inflammatory disease (PID).¹ Abdominal pain, abnormal vaginal discharge or bleeding, and fever are the hallmark symptoms seen in these patients. However, a wide range of other nonspecific findings may confound the diagnosis. It has traditionally been thought that sexual activity is a prerequisite for acquiring PID. We report the first case, to our knowledge, of a pelvic abscess secondary to vaginal voiding that resulted in a nonsexually acquired ascending infection.

Patient Report.

A 15-year-old white female virgin presented to the emergency department reporting a 3-week history of abdominal pain, nausea, vomiting, dysuria, and fever. During the previous month, she had had 3 episodes of cystitis, which were each treated with oral antibiotics. Her last menstrual period was 10 days prior to presentation. The patient repeatedly denied sexual activity or sexual abuse. At presentation, she had the following findings: temperature, 39.7 °C; . . . [Full Text of this Article]

Comment.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Use Caution When Determining "Virginal" vs "Nonvirginal" Status
Bravender et al.
Arch Pediatr Adolesc Med 1999;153:773-774.
FULL TEXT