Difficulties experienced in defining the microbial cause of pelvic inflammatory disease

International Journal of STD & AIDS
D Taylor-RobinsonC M Stacey

Abstract

Clinical assessment of women with pelvic pain was a poor indicator of disease seen at laparoscopy. Thus, of 109 women, 22 at laparoscopy had salpingitis, 19 had adhesions without salpingitis, 20 had endometriosis or ovarian pathology and 48 no observable abnormality. In all laparoscopic categories, Ureaplasma spp. and Mycoplasma hominis, but not Mycoplasma genitalium, were at least as common in the cervix/vagina as Chlamydia trachomatis and equally frequent in the endometrium. However, C. trachomatis had the greatest propensity for spread to the Fallopian tubes. Thus, of 28 women who had C. trachomatis organisms in the vagina/cervix, 13 had them in a Fallopian tube (ratio 2.2:1); the ratio was 6:1 for Neisseria gonorrhoeae, 8:1 for M. genitalium, 21:1 for M. hominis and 31:1 for Ureaplasma spp. M. hominis organisms in a large number were detected most often in women with salpingitis. The likelihood of spread of Ureaplasma urealyticum and U. parvum from the lower to the upper genital tract was about the same and they were detected only once each in a tube, which was not inflamed in either case. Multiple bacteria were often detected at a single site, making it difficult to establish the exact cause of disease. However N. gonorrho...Continue Reading

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Citations

Jan 30, 2014·Archives of Gynecology and Obstetrics·Christian SchindlbeckIoannis Mylonas
Nov 28, 2013·Infectious Disease Clinics of North America·Lisa E Manhart
Nov 28, 2013·Infectious Disease Clinics of North America·Caroline Mitchell, Malavika Prabhu
Nov 13, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·R Quentin, R Verdon
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Apr 17, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Ryoichi Hamasuna
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Dec 16, 2016·Clinical Microbiology Reviews·Emma L SweeneyChristine L Knox
Nov 7, 2019·Scientific Reports·Yang LiuHonglin Zhou
May 6, 2020·Sexually Transmitted Infections·David Taylor-Robinson
Feb 12, 2017·International Journal of STD & AIDS·David Taylor-RobinsonPatrick Horner
Feb 6, 2020·International Journal of STD & AIDS·David Taylor-RobinsonAnna Pallecaros
Mar 18, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·C Cazanave, B de Barbeyrac
Mar 18, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·R Verdon
Aug 17, 2021·The Journal of Infectious Diseases·Caroline M MitchellSharon L Hillier
Apr 14, 2017·Journal of Gynecology Obstetrics and Human Reproduction·M CanisS Matsuzaki

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Methods Mentioned

BETA
PCR
enzyme-linked immunosorbent assay
ELISA
biopsies
imaging techniques

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