Updated: 3/14/2015

Microbiology of Pelvic Inflammatory Disease

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Overview
  • Pelvic inflammatory disease (PID)
    • a generic term for inflammation of the uterus, fallopian tubes, or ovaries
    • most often caused by an ascending infection of these reproductive organs
      • like a "UTI" of the reproductive tract
    • scar tissue formation can lead to infertility, ectopic pregnancy, and chronic pain
    • manifestations include
      • salpingitis
      • endometritis
      • hydrosalpinx
      • tubo-ovarian abscesses
  • Most often caused by bacteria
    • Chlamydia trachomatis
    • Neisseria gonorrhoeae
    • Ureaplasma urealyticum
    • Mycoplasma
    • Gardnerella vaginalis
    • Trichomonas
  • Fitz-Hugh Curtis syndrome
    • serious complication of PID
    • infection spreads to liver capsule causing inflammation and scar tissue (perihepatitis)
    • "violin string" adhesions seen
      • parietal peritoneum adheres to liver
  • Epidemiology
    • 750,000 women in U.S. per year
    • 10-15% of those women become infertile due to PID
 

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