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Chlamydial Pelvic Inflammatory Disease

Chapter

Abstract

During the last decade it has been established that Chlamydia trachomatis is a common, if not the most common, etiological agent of uncomplicated genital infections in the male (viz., of nongonococcal urethritis) and in the female (viz., of cervicitis) [1-4]. Since 1977 it has also been known that C. trachomatis can ascend to the upper genital tract and infect the epididymis [5] and the fallopian tubes [6].

Keywords

Fallopian Tube Chlamydia Trachomatis Pelvic Inflammatory Disease Neisseria Gonorrhoeae Chlamydial Infection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Oriel D (1982) Infections of male genital tract. In: Mârdh P-A, Holmes KK, Oriel DJ, Piot P, Schachter J (eds) Chlamydial infections. Elsevier Biomedical, Amsterdam, p 93Google Scholar
  2. 2.
    Johannisson G, Löwhagen G-B, Nilsson S (1982) Chlamydia trachomatis and urethritis in men. In: Mårdh P-A, Moller BR, Paavonen J (eds) Chlamydia trachomatis in genital and related infections. Almqvist and Wiksell International, Stockholm, p 87Google Scholar
  3. 3.
    Weström L, Mârdh P-A (1982) Genital chlamydial infections in the female. In: Mårdh P-A, Holmes KK, Oriel DJ, Piot P, Schachter J (eds) Chlamydial infections. Elsevier Biomedical, Amsterdam, p 121Google Scholar
  4. 4.
    Paavonen J, Vesterinen E (1982) Chlamydia trachomatis in cervicitis and urethritis in women. In: Mârdh P-A, Moller BR, Paavonen J (eds) Chlamydia trachomatis in genital and related infections. Almqvist and Wiksell International, Stockholm, p 45Google Scholar
  5. 5.
    Berger RE, Alexander ER, Harnisch JP, Paulsen CA, Monda GD, Ansell J, Holmes KK (1979) Etiology, manifestations and therapy of acute epididymitis; prospective study of fifty cases. J Urol 121: 750PubMedGoogle Scholar
  6. 6.
    Mârdh P-A, Ripa KT, Svensson L, Weström L (1977) Chlamydia trachomatis infection in patients with acute salpingitis. N Engl J Med 296: 1377PubMedCrossRefGoogle Scholar
  7. 7.
    Falk V, Ludviksson K, Ågren G (1980) Genital tuberculosis in women. Am J Obstet Gynecol 138: 974PubMedGoogle Scholar
  8. 8.
    Mårdh P-A (1980) An overview of infectious agents of salpingitis, their biology, and recent advances in methods of detection. Am J Obstet Gynecol 138: 933PubMedGoogle Scholar
  9. 9.
    Jacobson L (1980) Differential diagnosis of acute pelvic inflammatory disease. Am J Obstet Gynecol 138: 1006PubMedGoogle Scholar
  10. 10.
    Bollerup AC, Kristensen GB, Mârdh P-A, Lind I (1982) Laboratory diagnosis of Chlamydia trachomatis infection in patients with acute salpingitis. In: Mårdh P-A, Holmes KK, Oriel DJ, Piot P, Schachter J (eds) Chlamydial infections. Elsevier Biomedical, Amsterdam, p 171Google Scholar
  11. 11.
    Eilard T, BrorssonJ-E, Hamark B, Forssman L (1976) Isolation of Chlamydia trachomatis in acute salpingitis. Scand J Infect Dis Suppl 9: 82PubMedGoogle Scholar
  12. 12.
    Eschenbach DA (1980) Epidemiology and diagnosis of acute pelvic inflammatory disease. Obstet Gynecol Suppl 55: 142Google Scholar
  13. 13.
    Gjønnaess H, Dalaker K, Ånestad G, Mårdh P-A, Kvile G, Bergan T (1982) Pelvic inflammatory disease. Etiological studies with emphasis on chlamydial infection. Obstet Gynecol 59: 550PubMedGoogle Scholar
  14. 14.
    Henry-Suchet J, Catalan F, Loffredo V, Serfaty D, Siboulet A, Perol Y, Sanson MJ, Debache C, Pigeau F, Coppin R, de Brux J, Poynard T (1980) Microbiology of specimens obtained by laparoscopy from controls and from patients with pelvic inflammatory disease or infertility with tubal obstruction: Chlamydia trachomatis and Ureaplasma urealyticum. Am J Obstet Gynecol 138: 1022PubMedGoogle Scholar
  15. 15.
    Mârdh P-A, Lind I, Svensson L, Weström L, Møller B (1981) Antibodies to Chlamydia trachomatis, Mycoplasma hominis and Neisseria gonorrhoeae in sera from patients with acute salpingitis. Br J Vener Dis 57: 125PubMedGoogle Scholar
  16. 16.
    Møller BR, Mârdh P-A, Ahrons T, Nüssler E (1981) Infection with Chlamydia trachomatis, Mycoplasma hominis and Neisseria gonorrhoeae in patients with signs of acute pelvic inflammatory disease. Sex Transm Dis 8: 198PubMedCrossRefGoogle Scholar
  17. 17.
    Ossler S, Persson K (1982) Epidemiologie and serodiagnostic aspects of chlamydial salpingitis. Obstet Gynecol 59: 206Google Scholar
  18. 18.
    Paavonen J, Saikku P, Vesterinen E, Aho K(1979) Chlamydia trachomatis in acute salpingitis. Br J Vener Dis 55: 203PubMedGoogle Scholar
  19. 19.
    Paavonen J (1980) Chlamydia trachomatisin acute salpingitis. Am J Obstet Gynecol 138: 957PubMedGoogle Scholar
  20. 20.
    Paavonen J, Valtonen W, Kasper DL, Malmkamäki M, Mäkkelä PH (1981) Serological evidence for the role of Bacteroides fragilis and Enterobacteriaceae in the pathogenesis of acute pelvic inflammatory disease. Lancet 1: 293PubMedCrossRefGoogle Scholar
  21. 21.
    Ripa KT, Svensson L, Trehame JD, Weström L, Mârdh P-A (1980) Chlamydia trachomatis infection in patients with laparoscopically verified acute salpingitis. Am J Obstet Gynecol 138: 960PubMedGoogle Scholar
  22. 22.
    Sweet RL, Mills J, Hadley KW, Blumenstock E, Schachter J, Robbie MO, Draper DL (1979) Use of laparoscopy to determine the microbiological etiology of acute salpingitis. Am J Obstet Gynecol 134: 68PubMedGoogle Scholar
  23. 23.
    Sweet RL, Draper DL, Schachter J, James J, Hadley WK, Brooks GF (1980) Microbiology and pathogenesis of acute salpingitis as determined by laparoscopy: what is the appropriate site to sample? Am J Obstet Gynecol 138: 985PubMedGoogle Scholar
  24. 24.
    Thompson SE, Hager WD, Wong K-H, Lopez B, Ramsey C, Allen SD, Stargel MD, Thomsberry C, Benigno BB, Thompson JD, Shulman JA (1980) The microbiology and therapy of acute pelvic inflammatory disease in hospitalized patients. Am J Obstet Gynecol 136: 179PubMedGoogle Scholar
  25. 25.
    Weström L (1980) Incidence, prevalence, and trends of acute pelvic inflammatory disease and its consequences in industrialized countries. Am J Obstet Gynecol 138: 880PubMedGoogle Scholar
  26. 26.
    Mårdh P-A, Zeeberg B (1981) The toxic effect of sampling swabs and transportation test tubes on the formation of intracytoplasmic inclusions of Chlamydia trachomatis. Br J Vener Dis 57: 268PubMedGoogle Scholar
  27. 27.
    Mårdh P-A, Weström L, Colleen S, Wølner-Hanssen P (1981) Sampling, specimen handling, and isolation techniques in the diagnosis of chlamydial and other genital infections. Sex Transm Dis 8: 280PubMedCrossRefGoogle Scholar
  28. 28.
    Wølner-Hanssen P, Mârdh P-A, Møller BJ, Weström L (1982) Endometrial infection in women with chlamydial salpingitis. Sex Transm Dis 9: 84PubMedCrossRefGoogle Scholar
  29. 29.
    Wølner-Hanssen P, Svensson L, Mârdh P-A (1982) Isolation of Chlamydia trachomatis from the liver capsule of a patient with Fitz-Hugh-Curtis syndrome. N Engl J Med 306: 113PubMedGoogle Scholar
  30. 30.
    Ripa KT, Mârdh P-A (1977) Cultivation of Chlamydia trachomatis in cycloheximide-treated McCoy cells. J Clin Microbiol 6: 328PubMedGoogle Scholar
  31. 31.
    Evans RT, Taylor-Robinson D (1979) Comparison of various McCoy cell treatment procedures used for detection of Chlamydia trachomatis. J Clin Microbiol 10: 198PubMedGoogle Scholar
  32. 32.
    Tam MR, Stephens RS, Kuo CC, Holmes KK, Stamm WE, Nowinski RC (1982) Use of monoclonal antibodies to Chlamydia trachomatis as immunodiagnostic reagents. In: Mårdh P-A, Holmes KK, Oriel DJ, Piot P, Schachter J (eds) Chlamydial infection. Elsevier Biomedical, Amsterdam, p 317Google Scholar
  33. 33.
    Henry-Suchet J, Catalan F, Paris X, Loffredo V (1982) Antibody titer to Chlamydia trachomatis in acute salpingitis and obstructive sterilities. In: Mârdh P-A, Holmes KK, Oriel DJ, Piot P, Schachter J (eds) Chlamydial infection. Elsevier Biomedical, Amsterdam, p 183Google Scholar
  34. 34.
    Svensson L, Weström L, Mårdh P-A (1981) Acute salpingitis with Chlamydia trachomatis isolated from the fallopian tubes - clinical, cultural and serological findings. Sex Transm Dis 8: 51PubMedCrossRefGoogle Scholar
  35. 35.
    Hallberg T, Wølner-Hanssen P, Mârdh P-A (1985) Pelvic inflammatory disease impatients with chlamydia trachomatis infection: Cell-mediated immune response to chlamydial autogen. Genitourin Med 61: 247PubMedGoogle Scholar
  36. 36.
    Møller BR, Weström L, Ahrons S, Ripa KT, Henriksson H, Svensson L, von Mecklenburg C, Mârdh P-A (1979) Chlamydia trachomatis infection of the fallopian tubes. Histological findings in two patients. Br J Vener Dis 55: 422PubMedGoogle Scholar
  37. 37.
    Møller BR, Freundt EA, Mårdh P-A (1980) Experimental pelvic inflammatory disease provoked by Chlamydia trachomatis and Mycoplasma hominis in grivet monkeys. Am J Obstet Gynecol 138: 990PubMedGoogle Scholar
  38. 38.
    Møller BR, Mârdh P-A(1980) Experimental salpingitis in grivet monkeys by Chlamydia trachomatis. Modes of spread of infection to the fall opiantubes. Acta Pathol Microbiol Scand [B] 88: 107Google Scholar
  39. 39.
    Ripa KT, Møller BT, Mårdh P-A, Freundt EA, Meisen F (1979) Experimental acute salpingitis in grivet monkeys provoked by Chlamydia trachomatis. Acta Pathol Microbiol Scand [B] 87: 65Google Scholar
  40. 40.
    Svensson L, Weström L, Ripa KT, Mârdh P-A (1980) Differences in some clinical and laboratory parameters in acute salpingitis related to culture and serological findings. Am J Obstet Gynecol 138: 1017PubMedGoogle Scholar
  41. 41.
    Mârdh P-A, Wølner-Hanssen P, Møller BR, Weström L (1981) Endometritis in chlamydial salpingitis. Br J Vener Dis 57: 191PubMedGoogle Scholar
  42. 42.
    Wølner-Hanssen P, Weström L, Mârdh P-A (1980) Perihepatitis and chlamydial salpingitis. Lancet 1: 901PubMedCrossRefGoogle Scholar
  43. 43.
    Dalaker K, Gjønnaess H, Kvile G, Urnes A, Ånestad G, Bergan T (1981) Chlamydia trachomatis as a cause of acute perihepatitis associated with pelvic inflammatory disease. Br J Vener Dis 57: 41PubMedGoogle Scholar
  44. 44.
    Wang S-P, Eschenbach D, Holmes KK, Wager G, Grayston JT (1980) Chlamydia trachomatis infection in Fitz-Hugh-Curtis syndrome. Am J Obstet Gynecol 138: 1034PubMedGoogle Scholar
  45. 45.
    Müller-Schoop JW, Wang S-P, Münzinger J, Schläpfer HU, Knoblauch M, Amman RW (1978) Chlamydia trachomatis as a possible cause of peritonitis and perihepatitis in young women. Br Med J 1: 1022PubMedCrossRefGoogle Scholar
  46. 45 a).
    Mådh P-A, Wølner-Hanssen P (1985) Chlamydial periappendicitis. Surg Gynecol Obstet 160: 304Google Scholar
  47. 46.
    Weström L, Svensson L, Wølner-Hanssen P, Mârdh P-A (1982) Chlamydial and gonococcal infections in a defined population of women. In: Mårdh P-A, Møller BR, Paavonen J (eds) Chlamydia trachomatis in genital and related infections. Almqvist and Wiksell International, Stockholm, p 157Google Scholar
  48. 47.
    Thelin I, Mårdh P-A (1982) Contact tracing in genital chlamydial infection. In: Mårdh P-A, Møller BR, Paavonen J (eds) Chlamydia trachomatis in genital and related infections. Almqvist and Wiksell International, Stockholm, p 163Google Scholar
  49. 48.
    Thelin I, Wennström A-M, Mårdh P-A (1980) Contact tracing in patients with genital chlamydial infection. Br J Vener Dis 56: 259PubMedGoogle Scholar
  50. 49.
    Weström L, Iosif S, Svensson L, Mårdh P-A (1979) Infertility after acute salpingitis: results of treatment with different antibiotics. Curr Ther Res Suppl 26: 752Google Scholar
  51. 50.
    Weström L (1975) Effect of acute pelvic inflammatory disease on fertility. Am J Obstet Gynecol 121: 707PubMedGoogle Scholar
  52. 51.
    Ripa KT, Mårdh P-A, Thelin I (1978) Chlamydia trachomatis urethritis in men attending a venereal disease clinic. A culture and therapeutic study. Acta Derm Venereol (Stockh) 58: 175Google Scholar
  53. 52.
    Weström L, Bengtsson L, Mårdh P-A (1981) Incidence, trends, and risks of ectopic pregnancy in population of women. Br Med J 282: 15CrossRefGoogle Scholar
  54. 52 a).
    Svensson L, Mårdh P-A, Ahlgren M, Nordenshjold F (1985) Ectopic pregnancy and antibodies to Chlamydia trachomatis. Fertil Steril 44: 313PubMedGoogle Scholar
  55. 53.
    Paavonen J, Vesterinen E, Mårdh P-A (1982) Infertility as a sequela of chlamydial pelvic inflammatory disease. In: Mårdh P-A, Møller BR, Paavonen J (eds) Chlamydia trachomatis in genital and related infections. Almqvist and Wiksell International, Stockholm, p 73Google Scholar
  56. 54.
    Moore DE, Foy HH, Wang S-P, Kuo C-C, Spadoni LR (1980) Association of Chlamydia trachomatis with tubal infertility. Fertil Steril 34: 303Google Scholar
  57. 55.
    Henry-Suchet J, Catalan F, Loffredo V, Serfaty D, Siboulet A, Perol Y, Sanson MJ, Debache C, Pigeau F, Coppin R, de Brux J, Paynard T (1980) Étude microbiologique des prélèvements coelioscopiques dans les annexités et les sterilités tubaires. J Gynecol Obstet Biol Reprod (Paris) 9: 445Google Scholar
  58. 56.
    Punnonen R, Terho P, Nikkanen V, Meurman O (1979) Chlamydial serology in infertile women by immunofluorescence. Fertil Steril 31: 656PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  1. 1.Institute of Clinical BacteriologyUniversity of UppsalaUppsalaSweden

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