<unk>  (SPT) is mostly suspected when a spiking fever is not resolved using a broad spectrum antibiotic therapy. People often experience flank or abdominal pain which is non-colic and constant. The pain can vary in intensity and location. Most often, SPT is diagnosed by the presence of fever, leucocytosis or positive blood cultures despite treating them with the standard antibiotic therapy. Due to the nature of SPT, such as rare incidence and lack of specific clinical signs and symptoms, it is often misdiagnosed. SPT is very complex and difficult to see through scans because sometimes small blood clots cannot be detected by these machines. Due to the difficulty in suspecting thrombi in the ovarian veins, sometimes a presumptive diagnosis can be made in persons, especially in postpartum women. This is the reason even healthy postpartum women are considered for anticoagulation therapy without no visualization of a thrombus in their scans. Imaging The best way to surely diagnose SPT is by using a contrast-enhanced computed tomography (CT) scan. Imaging tools such as computed tomography (CT) and magnetic resonance imaging (MRI) are used to visually confirm presence of a thrombosed vessel. CT and MRI show comparable results in diagnosing SPT but ultrasound has a lower detection ability. Ultrasound can be helpful in some cases when there is already a confirmed thrombus present in addition to a positive blood culture result. It is not useful to evaluate a dural or pelvic vein<unk>  because of its poor penetration abilities. Once the scan confirms the presence of a clot in addition to inflammation indicating thrombosis, it can be inferred looking at the blood cultures and symptoms that SPT is present. Other laboratory tests like the complete blood count, blood chemistries, liver tests, enzyme tests, INR/ PT ratios for anticoagulation can also be done. Ultrasonographic imaging can also support diagnosis of SPT. In the diagnosis of OVT, a characteristic sonographic finding will be an extended hypoechoic mass located anteriorly to the psoas. Additionally, sonographic imaging will show a thrombosed and enlarged ovarian vein. Laboratory results<unk>  will show laboratory results reflective of active inflammation such as elevated C-reactive protein (CRP) and white blood cell count (WBC). If available, both central and peripheral tip cultures should be sent for testing. Depending on type and site of infection, gram stain and purulent culture can also be sent. Differential diagnosis There are many other conditions that can mimic SPT, for example deep vein thrombosis (DVT) or other symptoms commonly experienced by cancer therapy patients. Cancer therapy patients can also be experiencing bacterium positive results due to other agents which they cannot fight due to severe immuno-compromised abilities. Since<unk>  is a diagnosis of exclusion, other causes of postpartum fever must be considered, such as infection of cesarean section wounds, episiotomy or laceration sites as well as endometritis, endomyometritis, mastitis, and physiologic breast engorgement.
Septic pelvic thrombophlebitis
Cervicitis
Pelvic inflammatory disease
Oophoritis
Parotitis
Vaginitis
Ovarian vein syndrome
Appendicitis