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Pelvic inflammatory disease after hysterosalpingography associated with Chlamydia trachomatis and Mycoplasma hominis
Author(s) -
MØLLER BIRGER R.,
ALLEN JIM,
TOFT BENTE,
HANSEN KARL BROGAARD,
TAYLORROBINSON DAVID
Publication year - 1984
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1984.tb04734.x
Subject(s) - hysterosalpingography , mycoplasma hominis , chlamydia trachomatis , pelvic inflammatory disease , chlamydia , medicine , tubal factor infertility , infertility , cervix , mycoplasma , gynecology , chlamydiaceae , cervicitis , immunology , biology , microbiology and biotechnology , pregnancy , genetics , cancer
Summary. A total of 116 women were referred for hysterosalpingography because of primary or secondary infertility. Chlamydia trachomatis was isolated from the cervix of four (3.4%) of the patients whereas Mycoplasma hominis was isolated from 39 (33.6%) of them. Four patients developed acute pelvic inflammatory disease after hysterosalpingography; two of them were chlamydia culture‐positive and developed a significant chlamydial antibody response during the course of the disease. One of the other two patients, who developed upper genital‐tract infection, was culture positive for M.hominis and developed a significant antibody response to this micro‐organism. The results indicate that C.trachomatis should be sought in patients before hysterosalpingography and, if detected, appropriate antibiotic cover should be instituted before the procedure.