Acquired Rectovaginal Fistula in Babies of Unknown and Asymptomatic Retroviral Positive Mothers
Abstract Background Acquired rectovaginal fistulae managed in three babies of asymptomatic mothers not known to be retroviral positive are presented to heighten clinician suspicion of HIV infection in babies with unexplained cause of acquired rectogenital fistula in regions where routine antenatal H...
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| Veröffentlicht in: | Journal of pediatric & adolescent gynecology 2011-06, Vol.24 (3), p.e79-e82 |
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| container_title | Journal of pediatric & adolescent gynecology |
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| creator | Osifo, Osarumwense David, FWACS, FICS Egwaikhide, Emmanuel Ajakaye, FWACS, FICS |
| description | Abstract Background Acquired rectovaginal fistulae managed in three babies of asymptomatic mothers not known to be retroviral positive are presented to heighten clinician suspicion of HIV infection in babies with unexplained cause of acquired rectogenital fistula in regions where routine antenatal HIV screening is not adopted. Cases Between 2004 and 2008, three babies aged 6, 10, and 11 months with rectovaginal fistula secondary to perinatal HIV transfer from unknown and asymptomatic positive mothers were managed at the University of Benin Teaching Hospital, Nigeria. Screening of the mothers confirmed the infection, and multidisciplinary approach to treatment, prompt antiretroviral regimen, use of broad spectrum antibiotics, and surgical management gave encouraging results. Conclusion Routine antenatal screening and suspicion of HIV infection in babies with unexplained cause of acquired rectovaginal fistula is advocated. |
| doi_str_mv | 10.1016/j.jpag.2010.08.013 |
| format | Article |
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Cases Between 2004 and 2008, three babies aged 6, 10, and 11 months with rectovaginal fistula secondary to perinatal HIV transfer from unknown and asymptomatic positive mothers were managed at the University of Benin Teaching Hospital, Nigeria. Screening of the mothers confirmed the infection, and multidisciplinary approach to treatment, prompt antiretroviral regimen, use of broad spectrum antibiotics, and surgical management gave encouraging results. Conclusion Routine antenatal screening and suspicion of HIV infection in babies with unexplained cause of acquired rectovaginal fistula is advocated.</description><identifier>ISSN: 1083-3188</identifier><identifier>EISSN: 1873-4332</identifier><identifier>DOI: 10.1016/j.jpag.2010.08.013</identifier><identifier>PMID: 21256781</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acquired ; Babies ; Female ; Fistula ; HIV Infections - complications ; HIV Infections - transmission ; HIV-1 ; HIV-2 ; Humans ; Infant ; Infectious Disease Transmission, Vertical ; Obstetrics and Gynecology ; Pediatrics ; Pregnancy ; Pregnancy Complications, Infectious ; Rectovaginal ; Rectovaginal Fistula - etiology ; Rectovaginal Fistula - surgery ; Retroviral positive mothers</subject><ispartof>Journal of pediatric & adolescent gynecology, 2011-06, Vol.24 (3), p.e79-e82</ispartof><rights>North American Society for Pediatric and Adolescent Gynecology</rights><rights>2011 North American Society for Pediatric and Adolescent Gynecology</rights><rights>Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. 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Cases Between 2004 and 2008, three babies aged 6, 10, and 11 months with rectovaginal fistula secondary to perinatal HIV transfer from unknown and asymptomatic positive mothers were managed at the University of Benin Teaching Hospital, Nigeria. Screening of the mothers confirmed the infection, and multidisciplinary approach to treatment, prompt antiretroviral regimen, use of broad spectrum antibiotics, and surgical management gave encouraging results. Conclusion Routine antenatal screening and suspicion of HIV infection in babies with unexplained cause of acquired rectovaginal fistula is advocated.</description><subject>Acquired</subject><subject>Babies</subject><subject>Female</subject><subject>Fistula</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - transmission</subject><subject>HIV-1</subject><subject>HIV-2</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious Disease Transmission, Vertical</subject><subject>Obstetrics and Gynecology</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious</subject><subject>Rectovaginal</subject><subject>Rectovaginal Fistula - etiology</subject><subject>Rectovaginal Fistula - surgery</subject><subject>Retroviral positive mothers</subject><issn>1083-3188</issn><issn>1873-4332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS0EoqXwAiyQd6wy9U8SeySENK0ordSqCOjacuyb4jSxp7YzaN4eR1O6YMHqWtfnHOl-B6H3lKwooe3psBq2-n7FSFkQuSKUv0DHVApe1Zyzl-VNJK84lfIIvUlpIISIppWv0RGjrGmFpMdIbczj7CJY_B1MDjt977we8YVLeR41dh6f6c5BwqHHd_7Bh98ea2_xJu2nbQ6Tzs4Ua45h52IxfgvJZbcDfBPyL4jpLXrV6zHBu6d5gu4uvvw8v6yub79enW-uK8NZkytm2rYRlFhiuWCmp7LubNdbUVOm11xKadY1r5u2fPW07jrRGaBWGuiangPnJ-jjIXcbw-MMKavJJQPjqD2EOSnZSi7adUOLkh2UJoaUIvRqG92k415RohaualALV7VwVUSqwrWYPjzFz90E9tnyF2QRfDoIoBy5cxBVMg68AVvgmqxscP_P__yP3YzOO6PHB9hDGsIcSy1JUZWYIurH0uxSLC2dsmYt-B-3Pp85</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Osifo, Osarumwense David, FWACS, FICS</creator><creator>Egwaikhide, Emmanuel Ajakaye, FWACS, FICS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Acquired Rectovaginal Fistula in Babies of Unknown and Asymptomatic Retroviral Positive Mothers</title><author>Osifo, Osarumwense David, FWACS, FICS ; Egwaikhide, Emmanuel Ajakaye, FWACS, FICS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c325t-2c665710d0d372cf184bdbfd7412a93888c943456cf1f14bb7bce1d8ceb5f3e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Acquired</topic><topic>Babies</topic><topic>Female</topic><topic>Fistula</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - transmission</topic><topic>HIV-1</topic><topic>HIV-2</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious Disease Transmission, Vertical</topic><topic>Obstetrics and Gynecology</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious</topic><topic>Rectovaginal</topic><topic>Rectovaginal Fistula - etiology</topic><topic>Rectovaginal Fistula - surgery</topic><topic>Retroviral positive mothers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osifo, Osarumwense David, FWACS, FICS</creatorcontrib><creatorcontrib>Egwaikhide, Emmanuel Ajakaye, FWACS, FICS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric & adolescent gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osifo, Osarumwense David, FWACS, FICS</au><au>Egwaikhide, Emmanuel Ajakaye, FWACS, FICS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquired Rectovaginal Fistula in Babies of Unknown and Asymptomatic Retroviral Positive Mothers</atitle><jtitle>Journal of pediatric & adolescent gynecology</jtitle><addtitle>J Pediatr Adolesc Gynecol</addtitle><date>2011-06</date><risdate>2011</risdate><volume>24</volume><issue>3</issue><spage>e79</spage><epage>e82</epage><pages>e79-e82</pages><issn>1083-3188</issn><eissn>1873-4332</eissn><abstract>Abstract Background Acquired rectovaginal fistulae managed in three babies of asymptomatic mothers not known to be retroviral positive are presented to heighten clinician suspicion of HIV infection in babies with unexplained cause of acquired rectogenital fistula in regions where routine antenatal HIV screening is not adopted. Cases Between 2004 and 2008, three babies aged 6, 10, and 11 months with rectovaginal fistula secondary to perinatal HIV transfer from unknown and asymptomatic positive mothers were managed at the University of Benin Teaching Hospital, Nigeria. Screening of the mothers confirmed the infection, and multidisciplinary approach to treatment, prompt antiretroviral regimen, use of broad spectrum antibiotics, and surgical management gave encouraging results. Conclusion Routine antenatal screening and suspicion of HIV infection in babies with unexplained cause of acquired rectovaginal fistula is advocated.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21256781</pmid><doi>10.1016/j.jpag.2010.08.013</doi></addata></record> |
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| identifier | ISSN: 1083-3188 |
| ispartof | Journal of pediatric & adolescent gynecology, 2011-06, Vol.24 (3), p.e79-e82 |
| issn | 1083-3188 1873-4332 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Acquired Babies Female Fistula HIV Infections - complications HIV Infections - transmission HIV-1 HIV-2 Humans Infant Infectious Disease Transmission, Vertical Obstetrics and Gynecology Pediatrics Pregnancy Pregnancy Complications, Infectious Rectovaginal Rectovaginal Fistula - etiology Rectovaginal Fistula - surgery Retroviral positive mothers |
| title | Acquired Rectovaginal Fistula in Babies of Unknown and Asymptomatic Retroviral Positive Mothers |
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