Microbiology and pathogenesis of acute salpingitis as determined by laparoscopy: What is the appropriate site to sample?

Richard L Sweet, D. L. Draper, J. Schachter, J. James, W. K. Hadley, G. F. Brooks

Research output: Contribution to journalArticle

110 Citations (Scopus)

Abstract

Acute salpingitis is a polymicrobial disease. Neisseria gonorrhoeae and anaerobic gram-positive cocci were the predominant microorganisms isolated from the fallopian tubes of salpingitis patients. Gonococci were isolated from the fallopian tubes in eight of 35 (23%) patients; anaerobic bacteria were recovered from 10 of 35 (28.5%). Although Chlamydia trachomatis was not recovered from the fallopian tube exudate, there was abundant serologic evidence of chlamydial infection in the salpingitis patients. Twenty-three percent of patients with paired sera had a fourfold rise in IgM and IgG titer, which was consistent with systemic chlamydial infection. Comparison of cultures obtained via laparoscopy and culdocentesis suggested that culdocentesis is not an accurate reflection of the microbial milieu in the fallopian tube.

Original languageEnglish (US)
Pages (from-to)985-989
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume138
Issue number7 PART 2
StatePublished - Dec 1 1980

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Salpingitis
Fallopian Tubes
Microbiology
Laparoscopy
Paracentesis
Neisseria gonorrhoeae
Gram-Positive Cocci
Anaerobic Bacteria
Chlamydia trachomatis
Exudates and Transudates
Infection
Immunoglobulin M
Immunoglobulin G
Serum

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Microbiology and pathogenesis of acute salpingitis as determined by laparoscopy : What is the appropriate site to sample? / Sweet, Richard L; Draper, D. L.; Schachter, J.; James, J.; Hadley, W. K.; Brooks, G. F.

In: American Journal of Obstetrics and Gynecology, Vol. 138, No. 7 PART 2, 01.12.1980, p. 985-989.

Research output: Contribution to journalArticle

Sweet, Richard L ; Draper, D. L. ; Schachter, J. ; James, J. ; Hadley, W. K. ; Brooks, G. F. / Microbiology and pathogenesis of acute salpingitis as determined by laparoscopy : What is the appropriate site to sample?. In: American Journal of Obstetrics and Gynecology. 1980 ; Vol. 138, No. 7 PART 2. pp. 985-989.
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