PMID: 6109939Feb 7, 1981Paper

Serological evidence for the role of Bacteroides fragilis and enterobacteriaceae in the pathogenesis of acute pelvic inflammatory disease

Lancet
J PaavonenP H Mäkelä

Abstract

Pelvic inflammatory disease (PID) is classically divided into gonococcal and non-gonococcal forms depending on whether or not gonococcus is isolated from the lower genital tract. Chlamydia trachomatis seems to be another major pathogen in PID. In an attempt to determine the role of facultative enteric bacteria and anaerobic Bacteroides fragilis in the pathogenesis of PID antibodies to the enterobacterial common antigen (ECA) and B. fragilis capsular polysaccharide were measured in paired sera of 101 consecutive patients with PID. Significant ECA and B. fragilis antibody tires were each found in about a third of the patients whether or not the lower-genital-tract culture yielded gonococci or C. trachomatis. These results support the concept that PID is a polymicrobial infection in which both anaerobes and aerobic enteric bacteria, as well as gonococci and C. trachomatis, have an important role.

References

Jul 1, 1979·Sexually Transmitted Diseases·D A Eschenbach, K K Holmes
Jan 1, 1979·Acta Obstetricia Et Gynecologica Scandinavica·J A PaavonenP Lehtovirta
Dec 1, 1979·The British Journal of Venereal Diseases·F D Ghadirian, H G Robson
Jul 24, 1975·The New England Journal of Medicine·D A EschenbachK K Holmes
Aug 1, 1980·Contraception·J Paavonen, E Vesterinen

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Citations

Mar 1, 1985·Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception·B J Struthers
Feb 20, 1982·Lancet
Nov 8, 1986·British Medical Journal·M J Hare
Aug 1, 1986·British Journal of Obstetrics and Gynaecology·G R KinghornS Hafiz
Jun 1, 1985·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J PaavonenJ Räsänen
Sep 1, 1988·FEMS Microbiology Reviews·H M KuhnH Mayer
Aug 3, 1989·The New England Journal of Medicine·B Styrt, S L Gorbach
Nov 1, 1990·International Journal of STD & AIDS·J Hare
Nov 14, 1997·Journal of Clinical Microbiology·P LeszczynskiF Meisel-Mikolajczyk

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