1/7. A case of renal involvement in persistent immune activation caused by chlamydial salpingitis.A 24-year-old woman presented with renal insufficiency, macrohematuria, and mild urinary protein. Polyclonal hypergamma-globulinemia, thrombocytosis, increased concentration of serum, and urinary interleukin (IL)-6 all indicated persistent immune activation caused by a chlamydia trachomatis infection of the fallopian tube. Gynecological treatment with levofloxacin was effective both for the renal symptoms and other immunological parameters. First and second renal biopsy specimens showed an immune-complex glomerulopathy with extensive interstitial infiltration of many types of inflammatory cells, including plasma cells. Thus, we conclude that chlamydial salpingitis must be considered as one causative disease factor for renal involvement by means of its persistent immune activation effects.- - - - - - - - - - ranking = 1keywords = chlamydial (Clic here for more details about this article) |
2/7. Acute chlamydial salpingitis with ascites and adnexal mass simulating a malignant neoplasm.chlamydia trachomatis is a well-known cause of acute and chronic salpingitis, accounting for approximately half of all cases of pelvic inflammatory disease. Typically, patients with acute chlamydial salpingitis present with acute lower abdominal pain, tenderness on bimanual pelvic examination, or vaginal discharge. We describe a case of acute chlamydial salpingitis with marked ascites and an adnexal mass that simulated a malignant neoplasm. Microscopically, a severe lymphofollicular salpingitis and a marked lymphofollicular hyperplasia of the omentum and retroperitoneal lymph nodes were found. Chlamydial inclusions in the fallopian tube epithelium were demonstrated by immunohistochemistry using a mouse monoclonal antibody to a genus-specific outer membrane lipoprotein. Chlamydial infection may cause marked ascites and a palpable adenexal mass and should be considered whenever marked chronic inflammation with a lymphofollicular hyperplasia involves the fallopian tube or other female genital tract sites.- - - - - - - - - - ranking = 1.2keywords = chlamydial (Clic here for more details about this article) |
3/7. Chlamydial salpingitis and perihepatitis after tubal occlusion.chlamydia trachomatis was isolated from the distal part of the tube in a patient with salpingitis and perihepatitis 14 months after laparoscopic tubal occlusion. This suggests that chlamydial infection can spread by the lymphatic or hematogenous routes.- - - - - - - - - - ranking = 0.2keywords = chlamydial (Clic here for more details about this article) |
4/7. endometritis and acute salpingitis associated with chlamydia trachomatis and herpes simplex virus type two.A patient who had endometritis confirmed by endometrial biopsy and acute salpingitis confirmed by laparoscopy is reported. chlamydia trachomatis and herpes simplex virus type two were isolated from the endometrial cavity and the fallopian tube. The histopathologic findings of the endometritis were similar to those frequently seen in chronic chlamydial eye disease or chlamydial cervicitis.- - - - - - - - - - ranking = 0.4keywords = chlamydial (Clic here for more details about this article) |
5/7. chlamydia trachomatis Fitz-Hugh-Curtis syndrome without salpingitis in female adolescents.We encountered seven female adolescents with the Fitz-Hugh-Curtis syndrome and no signs or symptoms of salpingitis. Six of the patients had cervical cultures positive for chlamydia trachomatis. The Fitz-Hugh-Curtis syndrome should be included in the differential diagnosis of right-sided abdominal pain in the sexually active female adolescent to avoid unnecessary diagnostic procedures and to reduce the prevalence of chlamydial infection and its complications.- - - - - - - - - - ranking = 0.2keywords = chlamydial (Clic here for more details about this article) |
6/7. chlamydia trachomatis infection of the fallopian tubes. Histological findings in two patients.In two patients with acute salpingitis, C. trachomatis was isolated from the cervix. In one of the patients, the organism was also recovered from the fallopian tubes, and in the other, chlamydial inclusions were found in Giemsa-stained tubal epithelial cells. A significant change in micro-immunofluorescence antibodies to C. trachomatis occurred in both patients during the course of the disease. The fallopian tubes of both patients were removed and studied by conventional histological techniques and, in the case of one of them, by transmission electron microscopy.- - - - - - - - - - ranking = 0.2keywords = chlamydial (Clic here for more details about this article) |
7/7. Perihepatitis and chlamydial salpingitis.In 4 patients with acute salpingitis (3 of whom also had perihepatitis) the diagnoses were verified by laparoscopy or laparotomy and all 4 had cultural and serological evidence of current infection with chlamydia trachomatis, whereas none had signs of gonococcal infection. 3 of the 4 had symptoms in the right upper abdomen, but the liver surface showed signs of perihepatitis in only 2. In the 4th patient, perihepatitis was diagnosed, although she denied symptoms in the hepatic region. Thus symptoms from the right upper abdomen in a young woman may be an indirect sign of a genital infection.- - - - - - - - - - ranking = 0.8keywords = chlamydial (Clic here for more details about this article) |