POPLINE Document Number: 018153
Author(s):
Mardh PA
Westrom L
Source citation:
British Journal of Venereal Diseases, 1970 Jun;46(3):179-86.
Abstract:
The occurrence of classic Mycoplasma, T-strain Mycoplasma, bacteria, and Trichomonas vaginalis in the uterine tubes of laparoscopized patients with acute salpingitis was investigated. Cervical and urethral specimens were also obtained. Women with infections confined to the lower genital tract and healthy females were investigated also. The 50 patients in the salpingitis group presented with a history and clinical signs suggestive of acute salpingitis. In all cases the diagnosis was confirmed by laparoscopy. In 50 women with infections confined to the lower genital tract, 2 of the following signs had to be present as diagnostic criteria: purulent or sanguino purulent discharge from the cervical os, abnormal pain on bimanual palpation of the cervix, or reddened vaginal mucosa. None of the group of 50 noninfected controls had any symptoms referable to infection in the genital tract. M. hominis was isolated from the cervix in 62% of the cases of salpingitis, in 46% of the cases of infection of the lower genital tract, and in 4% of the healthy women. M. hominis was isolated in pure culutre from the fallopian tubes in 12.9% of the patients with salpingitis who harbored M. hominis in the cervix. No significant difference was demonstrated in the occurrence of T-strain Mycoplasma in women with (50%) and without genital infections (44%). In 2 cases of salpingitis, T-strains were recovered from the uterine tubes. N. gonorrhoeae was cultured from the cervix in 34% of the patients with salpingitis but from the uterine tubes in only 4 cases. In only 3 cases were bacteria, apart from N. gonorrhoeae, isolated from the fallopian tubes in cases of salpingitis. T. vaginalis was recovered from the uterine tubes from 1 patient with infection of the lower genital tract, but there were no isolations from any of the patients with salpingitis. In addition to providing an objective means of diagnosing acute salpingitis, laparoscopy has offered excellent possibilities for obtaining samples directly from the fallopian tubes.
Keywords:
Comparative StudiesIndex page
Laparoscopy
Infections
Examinations and Diagnoses
Laboratory Examinations and Diagnoses
Sexually Transmitted Diseases
Studies
Research Methodology
Endoscopy
Physical Examinations and Diagnoses
Diseases
Reproductive Tract Infections