title: Clinical aspects of acute pelvic inflammatory disease: Cook County Hospital.
abstract: We reviewed Cook County Hospital records of 134 consecutive patients hospitalized for acute pelvic inflammatory disease unrelated to intrauterine devices, delivery, or pelvic surgery. Nearly half our patients had peritonitis or a pelvic mass and most were young or nulliparous. Neisseria gonorrhoeae was recovered from the endocervices of 41 (34%) of 120 patients and was more common among younger patients. Most patients responded to antibiotic therapy; consequently, we recommend antibiotic treatment for acute PID unless surgical emergencies cannot be excluded or patients do not improve with antibiotic therapy alone.
mesh_terms: D000328:Adult; D005260:Female; D006069:Gonorrhea; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000209:etiology* / Q000382:microbiology