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Re: prolonged PP fever From: Betsy Hyde (elishyde@mindspring.com) Thu Aug 24 20:48:14 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Previous message: DoctorJoe@aol.com: "Re: prolonged PP fever" In reply to: R. Daniel Braun: "Re: prolonged PP fever" Next in thread: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Reply: Garry E. Siegel, M.D.: "Re: prolonged PP fever" thanks, Dan. It didn't show upon CT, though. How long should it take to defervese on heparin if SPT? I admit I have no clue re the utility of CT/MRI re diagnosing pelvic thrombophlebitis. How high do duplex ultrasounds of the venous tree go? -- Betsy Hyde CNM Branford, CT On Aug 24, 2006, at 9:31 PM, R. Daniel Braun wrote: > Sounds like Ovarian Vein Septic Thrombophlebitris. It should show > up on CT. Sometimes never respond to Abx, only to surgical removal > of ovarian vein. I had one patient who had a 15 cm in diameter > purulent ovarian vein on the right. We had to excise it all the way > to the IVC. > > Dan > > On 8/24/06, Betsy Hyde <elishyde@mindspring.com> wrote: > > G1P1 now s/p c/s for something or other in labor. Don't remember > what, and don't think it is relevant to the presentation. It wasn't > sepsis. > > Now 10 days post c/s and still spiking to 101.5. Blood cultures while > spiking are neg. EKG neg. No hx travel to tropical climates. > > Post op course includes normal CT scan, WBC never >11.9, courses of > triples (amp/gent/clinda and also amp/gent/metronidazole). > > Now on amp/gent/metronidazole/heparin x 36 hours and still spiking to > 101.5. No localizing signs. Patient feels fine. > > Today's plans include MRI. > > Thoughts??? > > How long does it take for septic thrombophlebitis to defervese on > heparin? > > Anything else we should consider? I raised the possibility of > valvular disease and vegetative emboli, but cultures during spikes > were neg, and EKG was neg as well. > > Drug fever??? > > (MFM is involved as well as the OBs in my practice..this is not a > midwifery management question...) > > Betsy Hyde CNM > Branford, CT > > -- > R. Daniel Braun > > "The way to health is an aromatic bath and scented massage > everyday". > Hippocrates Next message: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Previous message: DoctorJoe@aol.com: "Re: prolonged PP fever" In reply to: R. Daniel Braun: "Re: prolonged PP fever" Next in thread: Garry E. Siegel, M.D.: "Re: prolonged PP fever" Reply: Garry E. Siegel, M.D.: "Re: prolonged PP fever"

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