Chlamydial endometritis

Endometrial biopsies were obtained from 32 women with suspected pelvic inflammatory disease, of whom 23 (72%) had histopathological evidence of endometritis. Chlamydia trachomatis was isolated from the endometria of nine (39%) women (chlamydia group) but not from the other 14 (non-chlamydia group)....

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Bibliographic Details
Published in:Journal of clinical pathology 1985-07, Vol.38 (7), p.726-732
Main Authors: Paavonen, J, Aine, R, Teisala, K, Heinonen, P K, Punnonen, R, Lehtinen, M, Miettinen, A, Grönroos, P
Format: Article
Language:English
Subjects:
Adult
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Cervix Uteri - microbiology
Chlamydia Infections - pathology
Chlamydia trachomatis - isolation & purification
Endometritis - microbiology
Endometritis - pathology
Endometrium - pathology
Female
Human bacterial diseases
Humans
Infectious diseases
Intrauterine Devices
Lymphocyte Activation
Lymphocytes - pathology
Medical sciences
Plasma Cells - pathology
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Summary:Endometrial biopsies were obtained from 32 women with suspected pelvic inflammatory disease, of whom 23 (72%) had histopathological evidence of endometritis. Chlamydia trachomatis was isolated from the endometria of nine (39%) women (chlamydia group) but not from the other 14 (non-chlamydia group). Severe plasma cell endometritis and lymphoid follicles with transformed lymphocytes were significantly more common in the chlamydia group than in the non-chlamydia group. This suggests that C trachomatis is an invasive endometrial pathogen which often causes severe inflammation. The association was independent of predisposing factors such as use of intrauterine contraceptive devices.
ISSN:0021-9746
1472-4146
DOI:10.1136/jcp.38.7.726