Wednesday, August 25, 2010

Pyometra

Saurabh Saxena now in 3 consecutive cases of open pyometra ,where cbc showed neutrophilia(high 80s and early 90s),after 3 days of drips and antibiotic and DNC ,when shifted to oral antibiotics,the patient suddenly dies??is it just a coincidence or am i missing sumthg??

07 April at 09:36 · · · Flag
    • Amardeep Singh Doc what is TLC, i always advise the owner for OH..... what does the group sugests ... let me know . high TLC hIGH nEUTRO , uterine discharge is almost confirmatory for PYM.
      09 April at 08:10 · · Report
    • Saurabh Saxena hi doc ,thnx .i advised for OH only but was trying to lower the infection load by going for drips and antibiotics.it was responding very well and started moving ard only wen i gave a break of few days by shifting to oral antibiotics it suddenly died.wat ud be the reason .we had d x ray and cbc all confirmatory of pyometra..
      09 April at 08:17 · · Report
    • Amardeep Singh Did u get biochem - OT/PT, BUN & Ser creat done or not could have been renal / hepatic damage too. what was the Hb % in cbc. at times low Hb also becomes fatal
      09 April at 08:31 · · Report
    • Saurabh Saxena hb was 11 and ot/pt bun /cre were all normal .dont hv exact values as report given to owner.
      09 April at 08:56 · · Report
    • Joseph Cyrus In certain cases of gram negative bacterial infections antibiotics are contraindicated as they may lead to endotoxic shock!
      10 April at 16:40 · · Report
    • Swarupmay Majumdar pl elaborate on this Dr Joseph
      13 April at 16:36 · · Report
    • Saurabh Saxena i wud also like to know more,doc cyrus
      13 April at 16:57 · · Report
    • Joseph Cyrus not in all cases of bacterial infection may u use antibiotics. though in practise we do it. it is not the case, some gram negative bacteria release endotoxins when a bacteriocidal antibiotic is used especiallly in an overwhelming infection like pyometra. Thus it may be wise to remove the uterus and then start on antibiotics. It is there in most gynaecology text books
      13 April at 17:32 · · Report
    • Swarupmay Majumdar thanks, thats something new
      13 April at 18:34 · · Report
    • Swarupmay Majumdar Dr joseph what are the antibiotics of choice for Pyometra? do we really need antibiotics?
      15 April at 10:30 · · Report
    • Saurabh Saxena doc ,how to proceed in recumbant patient ?u need to put him on drips and antibiotics so that it becomes fit for OH.
      16 April at 15:57 · · Report
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