Cases reported "Uterine Cervical Diseases"

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1/5. An unusual transmission of neisseria meningitidis: neonatal conjunctivitis acquired at delivery from the mother's endocervical infection.

    BACKGROUND: Primary meningococcal conjunctivitis is assumed to be due to the direct inoculation of neisseria meningitidis into the conjunctival sac from an exogenous source. According to a literature review, no case of neonatal conjunctivitis infection acquired at delivery from maternal endocervicitis has been published. GOAL: To report a case of meningococcal neonatal conjunctivitis acquired at delivery because of the mother's endocervical infection and cross-transmission of the strain with her partner. STUDY DESIGN: Strains were characterized by bacteriologic and serologic methods including grouping (agglutination), typing, and subtyping (enzyme-linked immunoabsorbent assay). Molecular analysis was done by pulsed-field gel electrophoresis. RESULTS: The three strains (newborn infant, mother, partner) were of the same antigenic formula (C:NT:P1.NT) and exhibited similar NheI and SpeI pulsed-field gel electrophoresis patterns. CONCLUSION: The identical phenotypic and genomic analysis of strains is the evidence for N meningitidis transmission at delivery from a maternal endocervical infection to the newborn infant and cross transmission between sexual partners.
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ranking = 1
keywords = cervicitis
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2/5. Reiter's syndrome of the vulva. The psoriasis spectrum.

    BACKGROUND--Reiter's syndrome is a disease characterized by crusted, scaling, acral and genital plaques; urethritis or cervicitis; and arthritis, which occur in genetically susceptible patients in response to any of many infections. This disease rarely occurs in women, and specific characterizations of vulvar and cervical lesions are rare. OBSERVATIONS--We describe a 39-year-old woman with a history of mucocutaneous candidiasis that was refractory to oral ketoconazole therapy. She presented with well-demarcated, erythematous, crusted plaques over the vulva, hands, and feet, as well as with cervical lesions and a history of conjunctivitis and iritis. Following the biopsy of characteristic skin lesions, recognition of systemic signs, and cultures that were negative for yeast, her condition was diagnosed as Reiter's syndrome. CONCLUSIONS--Reiter's syndrome of the vulva, vagina, and cervix may not be recognized because of its uncommon occurrence in women and the physician's consequent unfamiliarity with its clinical appearance in the genital area. This disease and pustular psoriasis share many common features and exist on a spectrum. A high index of suspicion and correlation of the many facets of the disease will better enable the clinician to make this diagnosis.
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ranking = 1
keywords = cervicitis
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3/5. cytomegalovirus endocervicitis diagnosed by cervical smear.

    cytomegalovirus (CMV) cytologic changes were found in a routine cervical smear of a 21-yr-old hiv-negative woman, 4 wk post partum. The CMV changes were associated with columnar cervical epithelium. The case is reported because of the rarity of such an occurrence in cervical smears.
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ranking = 4
keywords = cervicitis
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4/5. Cytologic detection of tuberculosis of the uterine cervix.

    Tubercular cervicitis was diagnosed by cytologic examination of vaginal smears in three cases. The diagnosis was confirmed by histopathologic studies. Correct recognition of the epithelioid cells gave the best clue to the cytologic diagnosis.
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ranking = 1
keywords = cervicitis
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5/5. tuberculosis of the cervix: cytology as an aid to diagnosis.

    Two cases of tuberculous cervicitis are presented. The presence in cervical smears of both epithelioid and Langhans' giant cells, which are described, should raise a strong suspicion of tuberculosis.
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ranking = 1
keywords = cervicitis
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