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Paudel
Non-specific infections:
Conditions Features and organisms involved
Puerperal metritis Corynebacterium pyogenes, group C streptococci, hemolytic
staphylococci, coliform organisms. Since the condition is usually
associated with retentions of placenta, the condition is severe,
therefore could be fetal due to systemic toxaemia. Line of
treatment is administration of systemic antibiotics, antihistamines
if felt necessary and drainage of the uterus.
Endometritis It generally does not produce systemic symptoms. The causal
organisms reach the uterus from the vagina at coitus, insemination
or parturition or very rarely through circulation. Non-specific
infections include E.Coli, Bacillus species, Staphylococcus aureus
Enterobacter, Pseudomonas species, Streptobacillus species,
Corynebacterium species, Streptococcus species and many others.
Line of treatment is administration of antibacterial/antibiotic and
sexual rest for a cycle or two.
Pyometra This is the condition arisen due to progressive accumulation of pus
in the uterus associated with persistent CL on the ovary. Generally
this is the sequel of puerperal metritis or chronic endometritis.
Treatment as above and hormone (PGF2 alpha) therapy for
luteolysis.
Salpingitis Generally extends from pyometra or endometritis. Difficult to
diagnose clinically.
Cervicitis and vaginitis Any environmental opportunistic organism/pathogen can establish
infections if the organs are damaged or traumatized. Obstetrical
traumas are the main predisposing factors. Treatment line: consider
surgical dressing and suturing if necessary.