Am J Clin Microbiol Antimicrob | Volume 1, Issue 4 | Research Article | Open Access

Complicated Major Labia Abscess - Clinical Manifestation and Microbiology of Hospitalized Women

Anat Shmueli, Yoav Peled*, Anat From, Ram Eitan, Arnon Wiznitzer and Haim Krissi

Department of Obstetrics and Gynecology, Tel Aviv University, Israel

*Correspondance to: Yoav Peled 

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Abstract

Background: Women hospitalized with complicated Non-Bartholin major labia abscesses an uncommon insufficient investigated entity. The purpose of this study was to explore these patients characteristics, there clinical manifestation, mode of treatment and microbiology.
Methods: Hospitalized women with a diagnosis of major labia abscess were followed at the gynecological division of a university-affiliated tertiary medical center during January 2004 to December 2013. Decision for hospitalization was based on clinical symptoms such as severe pain, fever, swelling, redness and cellulitis, or no response to oral antibiotic treatment. Data on demographic parameters, age, clinical manifestations, diagnosis, mode of treatment, pus culture, blood test results, duration of stay and discharge were retrieved from the departmental computerized health records.
Results: Of 294 women diagnosed and hospitalized for vulvar abscess during the study period, only 27 (9.2%) were diagnosed with major labia abscess and comprised the study group. Mean age was 35.2 ± 13.2 years (range 15-65 years). For all women, this was the first episode of labial abscess. Severe local pain was the main complaint, recorded for 17 (62.9%). Systemic fever and leukocytosis were recorded for only 8 (29.6%) and 10 (37.0%) women. Incision and drainage of the abscess was successful in all cases. There were no cases of recurrent labial abscesses in our records. Only 33.3% of cultures were positive for bacteria. The most prevalent species were Streptococcus in 88.9%, Escherichia coli in 22.2% and Staphylococcus in 11.1%. Conclusions: Hospitalization for major labia abscess is uncommon. Incision and drainage with systemic antibiotics is the appropriate treatment.

Keywords:

Major Labia; Vulvar Abscess; Non-Bartholin Abscess

Citation:

Shmueli A, Peled Y, From A, Eitan R, Wiznitzer A, Krissi H. Complicated Major Labia Abscess - Clinical Manifestation and Microbiology of Hospitalized Women. Am J Clin Microbiol Antimicrob. 2018; 1(4): 1016.

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