Usefulness of Serum Procalcitonin Levels in Predicting Tubo-Ovarian Abscess in Patients with Acute Pelvic Inflammatory Disease.
We aimed to investigate the clinical importance of serum procalcitonin (PCT) levels in the diagnosis of tubo-ovarian abscess (TOA). Patients diagnosed with pelvic inflammatory disease (PID; n = 36) and patients diagnosed with TOA (n = 42) were included in the study. Sociodemographic characteristics, laboratory and clinical parameters were compared between the 2 groups. Mean PCT level was higher in the TOA group (p = 0.004). Mean length of stay in hospital was longer in patients with TOA (p < 0.001). White blood cell count, neutrophil count, percentage of neutrophils and C-reactive protein levels were higher than normal limits in all patients; however, no differences in these parameters were observed between the groups. A cutoff level of 0.330 ng/ml for PCT revealed 62% sensitivity and 75% specificity in predicting TOA. Serum PCT is a promising inexpensive marker for the diagnosis of TOA in PID patients.
Department of Obstetrics and Gynecology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Hakan
H
Erenel
Nevin
N
Yilmaz
Mahmut
M
Oncul
Abdullah Serdar
AS
Acikgoz
Suat
S
Karatas
Isil
I
Ayhan
Berna
B
Aslan
Abdullah
A
Tuten
D000038:Abscess / Q000097:blood*; D000328:Adult; D015415:Biomarkers / Q000097:blood; D002116:Calcitonin / Q000097:blood*; D005184:Fallopian Tube Diseases / Q000097:blood*; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D008875:Middle Aged; D010049:Ovarian Diseases / Q000097:blood*; D000292:Pelvic Inflammatory Disease / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D012189:Retrospective Studies; D012680:Sensitivity and Specificity
D015415:Biomarkers; D002116:Calcitonin
C- reactive protein; Pelvic inflammatory disease; Procalcitonin; Tubo-ovarian abscess