Introduction
Sexual infections are one of the most common causes of infertility in women. Normally, after the mature egg has left the ovary, it should enter the uterine cavity through the fallopian tube. However, in this case study, due to sexual infection, the patient has inflammation because of which scars form in the fallopian tubes, and they become impassable. Muscle contractions in their walls are disrupted, with the help of which they help the egg to move (Sonthalia et al., 2020). Therefore, in this case, study, a sexual infection in a patient can cause infertility due to the inflammation factors.
Rise of Inflammatory Markers in STD/PID
In this case, markers of inflammation in the patient are observed in the blood test. In particular, this can be seen by the erythrocyte sedimentation rate, C-reactive protein, and fibrinogen. Fibrinogen is not only a protein of the acute phase of inflammation, but also a blood clotting factor, a high level of which is associated with inflammation (Sherrard et al., 2018). The high level of these indicators reflects the activity of the disease and is the inflammatory marker in STD in the patient.
Causes of Prostatitis & Infection
Since the patient and her husband claim that they had sexual contact only with each other, the ways of transmission of infection can be domestic. For example, the cause of a wife’s infection may be household contact, when using one bathroom or a public swimming pool (Gupta et al., 2022). This is due to the fact that the virus can remain viable for a long time in wet conditions, for example, wet towels. It is transmitted through contact if there is at least a small damage to the skin. Prostatitis of the patient’s husband in this case study is likely to be infectious. It can be caused by bacteria of the conditionally pathogenic microflora of the body that are not associated with the genitourinary system (Gupta et al., 2022). Such conditions for infection arose as a result of sexual contact with a wife who is a carrier of the virus.
Causes of Systemic Reaction
The cause of systemic reaction in this case study is due to pathophysiological shifts in response to the damaging effect of infection of the reproductive system. This multi-syndromic and phase-specific pathological process developed in a woman with systemic damage. The most likely cause of systemic reaction in the patient is microbial invasion (Gupta et al., 2022). This may be evidenced by the total inflammatory activity of endotheliocytes, plasma, and cellular blood factors detected in the patient’s blood test.
Splenectomy after Diagnosis of ITP
One of the indications for splenectomy is the abdominal pain syndrome caused by perisplenitis, which is observed in the patient. Abdominal pain in combination with the result of her blood test and other symptoms indicates a lesion of the spleen (Sherrard et al., 2018). After a diagnosis of ITP, a woman may need a splenectomy due to perisplenitis with a pronounced pain syndrome. As a result, ITP infection of an inflammatory nature resulted in significantly pronounced hemolytic crises, which threaten the patient’s life, therefore it is necessary to resort to splenectomy.
Conclusion
Based on the indicators obtained from the patient during the blood test, she has anemia. Symptoms such as abdominal pain, vomiting, and fever are indicators of hemolytic crises. At the moment of the crisis, body temperature increases, and dizziness, weakness, and nausea are observed in the patient (Sherrard et al., 2018). In this regard, a woman has such a type of anemia as hemolytic. These are acquired diseases characterized by increased intracranial and intravascular destruction of red blood cells (Gupta et al., 2022). Splenectomy as a treatment method is used for this form of hemolytic anemia.
References
Gupta, B., Datta, S., Das, K., & Roy, J. (2022). The trend of STD in COVID times: A retrospective hospital-based study from Northeast India. IP Indian Journal of Clinical and Experimental Dermatology, 8(1), 43–46.
Sherrard, J., Wilson, J., Donders, G., Mendling, W., & Jensen, J. S. (2018). 2018 European (IUSTI/WHO) International Union against sexually transmitted infections (IUSTI) World Health Organisation (WHO) guideline on the management of vaginal discharge. International Journal of STD & AIDS, 29(13), 1258–1272.
Sonthalia, S., Aggarwal, P., & Das, S. (2020). Aerobic vaginitis: An underdiagnosed cause of vaginal discharge (narrative review). International Journal of STD & AIDS, 110(6), 34–44.