ABSTRACT

Fever may be a major or prominent manifestation and the patient may present with unexplained fever. Fever in obstetric and gynecologic patients may be due to infection but, not infrequently, the cause is noninfectious and obscure. Fever as a prominent symptom can occur occasionally in cases of acute herpes simplex genital infections. Pelvic inflammatory disease has a wide clinical spectrum, ranging from an almost asymptomatic condition to severe pelvic pain and fever, and on to peritonitis. The origin of fever is either from the tumour itself or as a result of secondary infection, including breast abscess. A rare condition which may present with lower abdominal pain, fever and a tender palpable mass is pelvic inflammatory pseudotumor, a xanthogranulomatous reaction of obscure etiology occurring within the female genital tract. Genital tuberculosis affects women mainly in their reproductive years, about 80 to 90% being diagnosed in this age group.