Infect Chemother.  2012 Oct;44(5):362-366. 10.3947/ic.2012.44.5.362.

Frequency of N. gonorrheaee, C. trachomatis, U. urealyticum and M. hominis in Pelvic Inflammatory Disease and Fitz-Hugh-Curtis Syndrome

• Lee GH
• Kim HJ
• Park CH
• Chun YJ
• Choi HJ
• Lee HN
• Cho S

• KMID: 2170380
• DOI: http://doi.org/10.3947/ic.2012.44.5.362

Abstract

BACKGROUND
Pelvic inflammatory disease (PID) is a common genital tract infection in reproductive women. This study aimed to determine the frequency of Neisseria gonorrheae, Chlamydia trachomatis, Ureaplasma urealyticum, and Mycoplasma hominis in Pelvic inflammatory disease (PID), and to further sub-analyze the clinical characteristics in patients diagnosed with Fitz-Hugh-Curtis syndrome (FHCS). MATERIAL AND METHODS: Sixty-six patients diagnosed clinically as PID were recruited from April, 2007 to February, 2011. Retrospective chart review was performed for investigating the characteristics of the clinical manifestation, laboratory findings, and image findings. And then all subjects were classified into two groups, the PID-only group and the FHCS group, depending on whether or not computed tomography showed increased perihepatic enhancement. Samples obtained in endocervical swabs were tested using Roche COBAS Amplicor Polymerase-chain reaction (PCR) for N. gonorrheae, C. trachomatis, U. urealyticum, and M. hominis.
RESULTS
The 66 PID patients ranged in age from 19 to 49 years. Thirty nine patients were diagnosed as having an inflammation localized only in the lower abdomen (PID only), and 27 patients were diagnosed as FHCS. According to results of PCR, U. urealyticum was found most commonly in both the PID-only group and the FHCS group (66.7% and 59.3%, respectively).
CONCLUSIONS
Organisms other than C. trachomatis and N. gonorrheae, particularly U. urealyticum, may be detected more frequently in PID patients in Korea. In addition, identification of M. hominis may be of importance in female health problems such as FHCS.

Keyword

Pelvic inflammatory disease; Fitz-Hugh-Curtis Syndrome; Ureaplsama urealyticum; Mycoplasma homini

MeSH Terms

Abdomen
Chlamydia Infections
Chlamydia trachomatis
Female
Gonorrhea
Hepatitis
Humans
Inflammation
Korea
Mycoplasma hominis
Neisseria
Pelvic Inflammatory Disease
Peritonitis
Polymerase Chain Reaction
Reproductive Tract Infections
Retrospective Studies
Ureaplasma urealyticum
Chlamydia Infections
Hepatitis
Pelvic Inflammatory Disease
Peritonitis

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