Pelvic inflammatory disease after hysterosalpingography associated with Chlamydia trachomatis and Mycoplasma hominis

Br J Obstet Gynaecol. 1984 Dec;91(12):1181-7. doi: 10.1111/j.1471-0528.1984.tb04734.x.

Abstract

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chlamydia trachomatis / isolation & purification
  • Female
  • Humans
  • Hysterosalpingography / adverse effects*
  • Mycoplasma / isolation & purification
  • Pelvic Inflammatory Disease / etiology*
  • Pelvic Inflammatory Disease / microbiology