A 31-year old female approached the Ob/Gyn department for pelvic pain. History No known history of sexually transmitted disease No known chronic disease under pharmacological treatment She did not practice any contraceptive method. Currently sexually active, attempting to conceive Pap smear performed a year ago, reported mild inflammation and Doderlein’s cytolysis.
Regular menstrual cycle of 28 days One and a half year ago she was treated for pelvic pain with antibiotic therapy, suspected pelvic inflammatory disease A year ago she had positive cervicovaginal swabs for Candida albicans. Examination Patient reported pain in the abdominal lower quadrants. Per vaginal examination– leucorrhoea found upon introduction of speculum Low grade fever Blood test Hemoglobin level- 13.0 g/dL Total white blood cells- 4.63x109/L Neutrophils: 44.6%; platelets- 231x109/L C-reactive protein (CRP)- 4…
