Gonococcal Pelvic Inflammatory Disease with Sepsis Criteria: Review of 2 Cases

Background: Infection caused by Neisseria Gonorrhoeae increases the risk of pelvic inflammatory disease (PID). Gonococcal PID tends to be clinically more severe than non-gonococcal ones. The main is present two cases gonococcal PID, with rapid clinical and analytic progression, leading sepsis, but without imaging manifestations. Clinical presentation: 1. 41-year-old patient replacement intrauterine releasing levonorgestrel device (IUD), presented abdominal pain green vaginal discharge. Abdominal examination revealed signs peritoneal irritation blood test showed leukocytosis, increased C Reactive Protein procalcitonin, as well coagulation abnormalities. Imaging tests (vaginal ultrasound/tomography) no structural pathology, collections. Given criteria broadspectrum intravenous (iv) antibiotic therapy was started laparoscopy IUD removal were performed. Cervical cultures positive for gonorrhoeae. 2. 20-year-old woman, an IUD, consulted pain, low-grade fever suggested sensitivity laboratory procalcitonin Despite analgesia broad-spectrum iv antibiotics, worsened, proceeding remove IUD. compatible decided. Endocervical Conclusions: Facing situation acute fast worsening even findings in tests, we should consider ethiology a possible cause. Surgical approach shouldn’t delayed order control infection rule out other diagnosis.