(Disclaimer: This article is for scientific purposes only. To protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: This 27-year-old female patient presented to the hospital with fever and abdominal pain due to the presence of a history of bad sex, which led to a marked aggravation of her symptoms. Examination ultrasound results showed thickening of the left fallopian tube with obvious pressure pain, profuse vaginal discharge, and purulent discharge seen at the cervical opening, which led to the diagnosis of acute salpingitis and vaginitis. After symptomatic drug treatment, the patient’s fever and abdominal pain were relieved, and her condition was basically controlled and stabilized. 【Basic information】 Female, 27 years old 【Type of disease】 Acute salpingitis, vaginitis 【Hospitalization】 Guangxi Zhuang Autonomous Region Riverside Hospital 【Time of consultation】 June 2022 【Treatment plan】 Medication (ceftriaxone sodium for injection + metronidazole injection + bisacodyl effervescent tablets) 【Treatment cycle】 Hospitalization for 11 days 【Treatment effect】 Condition under control, body temperature back to normal, abdominal pain relief I, Initial consultation The patient is a woman, 27 years old, who said that she usually has frequent sex life, and had vaginitis in early May, which was improved by her own medication and she did not go to the hospital for consultation. A few days ago in the case of menstruation is not clean, sexual intercourse, then began to appear mild abdominal pain, to May 30 began to have a low-grade fever, thought that it was a cold, taking small chaihu granules treatment, June 1, self-conscious high fever, did not measure the temperature, the left side of the abdominal pain is obvious, the afternoon to the hospital. Measured temperature 39.3 ℃, the doctor sterilized gynecological examination, showed that the vaginal discharge, cervical opening to see pus-like secretion, uterus light pressure pain, the left fallopian tube obvious thickening, obvious pressure pain, the right adnexal area has no obvious abnormality, diagnosis of acute salpingitis, vaginitis, admitted to the hospital. Second, the treatment process At the time of admission, the patient had an acute painful face, body temperature of 39.5 ℃, heart rate of 110 beats / min, left lower abdomen abdominal muscle tension, obvious pressure and rebound pain, given to improve the relevant examinations, including routine blood results of leukocytes 15.07 × 10^9 / L, neutrophil percentage of 92.5%, ultrasensitive C-reactive protein 76.1 mg / L, leukorrhea results of cleanliness IV degree, leukocytes (++++), blood HCG (-), ultrasound results showed thickening of the left fallopian tube with tubal effusion, pelvic effusion, and no obvious abnormalities in the uterus or right adnexa. The patient was told about her condition, and based on the history, gynecological examination and auxiliary examination results, it was considered that fever and abdominal pain were mainly caused by acute tubalitis, and she was given blood sampling for blood culture and drug sensitization, and before the drug sensitization results were returned, she was given mainly medication, and was given intravenous anti-inflammatory treatment of ceftriaxone sodium for injection and metronidazole injection. At the same time, the patient was advised to take bed rest and semi-recumbent position, which is favorable to the limitation of inflammation, and was given vaginal plugs of bisacodyl effervescent tablets for the treatment of vaginitis. Third, the therapeutic effect of intravenous anti-inflammatory treatment for 5 days, the patient’s body temperature fluctuates between 37.9 ℃ – 38.7 ℃, abdominal pain has been reduced, review of routine blood results of leukocytes 11.04 × 10 ^ 9 / L, ultrasensitive C-reactive protein 25.3 mg / L, indicating that the treatment program is effective, continue to use the drug. On the 11th day of hospitalization, the blood test was repeated, and the result was 8.98×10^9/L leukocytes, 10.36mg/L ultra-sensitive C-reactive protein, the result of leukorrhea test was cleanness II, the result of ultrasound was slightly coarsening of the left fallopian tube, and there was no obvious abnormality of the uterus and the right adnexa. The patient had no fever, abdominal pain symptoms relieved, given discharge, recommended outpatient continued treatment. Precautions It is fortunate that the patient’s acute salpingitis and vaginitis were treated in time, but the patient should be reminded to pay attention to the following after discharge: 1, it is recommended to continue anti-inflammatory treatment, and outpatient regular review until the inflammation is completely cured, otherwise the inflammation has not been cured, it is easy to delay the development of chronic salpingitis, triggering ectopic pregnancy, infertility, etc.; 2, before the disease is completely recovered, the main focus of rest, the treatment of After the treatment, patients are advised to exercise properly and eat a scientific diet to improve the body’s resistance and immunity; 3, patients are advised to learn more about sexual health, pay attention to sexual hygiene, avoid frequent sexual intercourse, menstrual sex, and do regular cervical cancer checkups; 4, acute tubalitis may recur, so patients should go to the hospital as early as possible for treatment of infections of the lower reproductive tract in the future. V. Personal perception Young women in the sexually active period, should pay attention to healthy sexual behavior, such as this patient frequent sex, menstrual period sex, are bad sex, easy to lead to the occurrence of inflammation of the reproductive tract, in addition to acute tubalitis, may also cause endometritis, salpingitis, pelvic inflammatory disease, and so on. After the emergence of acute tubalitis, fever and abdominal pain symptoms often occur, we must seek early and active symptomatic treatment, effective anti-inflammatory treatment can quickly control the condition, if not treated or blindly use of medication may lead to severe inflammation, but also cause systemic infections and infertility, women’s physical and psychological harm is very great.