Bacteriological studies in salpingitis with special reference to gonococcal viability

Tubal and cervical cultures in acute salpingitis with special reference to Mycoplasma hominis and T-strain mycoplasmas.

“…gonorrhoeae may frequently be cultured from the lower genital tract in patients with salpingitis, and according to the results of such cultures the condition has usually been classified as gonorrhoeal or non-gonorrhoeal salpingitis. There has, however, been no unanimity as to the frequency with which N. gonorrhoeae causes the infection in the fallopian tubes themselves (Curtis, 1921;Studdiford, Casper, and Scadron, 1938;Hundley, Diehl, and Baggott, 1950). The frequent finding of N. gonorrhoeae in the lower genital tract in cases of salpingitis is in striking contrast to the rare finding of gonococci in the fallopian tubes.…”

Treatment of acute non‐tuberculous salpingitis with antibiotics alone and in combination with glucocorticoids

“…Several authors aspirated material from the pouch of Douglas or from the tube at operation in a later stage of the disease, after the acute symptoms had subsided (CURTIS 1921, FALK 1946, HUNDLEY et al 1950, CLAASSENS 1958, MOLNAR& GEDER 1958, LUKASIK 1963. Gonococci were also rarely seen in these cultures, which were dominated by intestinal bacteria, staphylococci and streptococci.…”

“…After exclusion of the patients aged 40 or more the frequency of bilateral tubal changes in those with primarily palpable inflammatory swellings was 15 % (Iimits of confidence at 1 %--level: 10-20 % ) (33 of 225) thus a few per cent higher than that in the entire material. The analysis thus produced no evidence in support of the pessimistic attitude that treatment with antibiotics alone has hardly any fertility preserving effect in patients in whom salpingitis has advanced and produced palpable swellings ( HUNDLEY et al 1950, ~E Y N E~A N N 1953, RUNGE 1953, DECH 1956, RACHEL 1956, MARTIUS 1960, SCHULTZ 1962.…”

Ultrastructural analysis of the pathogenesis of Neisseria gonorrhoeae endometrial infection

“…N. gonorrhoeae might be cleared after the onset of endometritis. Clinical studies suggest gonococcal fallopian tube infection is transient but that gonococcal‐induced damage facilitates infection by anaerobes (Hundley et al ., 1950; Ward et al ., 1974). The course of gonococcal infection may be influenced by host factors like receptor engagement and previous influx of inflammatory cells as a result of menstrual phase variation (Salamonsen and Woolley, 1999).…”