tetracycline and Salpingitis

Topics: Anti-Infective Agents; Arthritis, Infectious; Cephalosporins; Child; Doxycycline; Erythromycin; Female; Gonorrhea; Humans; Kanamycin; Leucomycins; Male; Ophthalmia Neonatorum; Penicillins; Proctitis; Salpingitis; Sexually Transmitted Diseases; Spectinomycin; Sulfonamides; Tetracycline; Thiamphenicol; Trimethoprim

Topics: Female; Humans; Infant, Newborn; Lymphogranuloma Venereum; Male; Pregnancy; Proctitis; Salpingitis; Tetracycline; Urethritis

Topics: Anti-Bacterial Agents; Cephalosporins; Chloramphenicol; Colistin; Drug Hypersensitivity; Enterobacteriaceae Infections; Erythromycin; Female; Gonorrhea; Humans; Kidney Diseases; Mycoplasma Infections; Pelvic Inflammatory Disease; Salpingitis; Staphylococcal Infections; Streptococcal Infections; Streptomycin; Tetracycline; Thrombophlebitis; Tuberculosis, Female Genital; Wound Infection

The significance of C-reactive protein (CRP) in assessing the treatment of pelvic inflammatory disease (PID) was established and compared with body temperature (BT), erythrocyte sedimentation rate (ESR) and serum leukocyte concentration (L).. In 51 patients with PID, 20 (39%) of them with tubo-ovarial abscess (TOA), measurement of BT and laboratory investigations were carried out on admission and during treatment on days 3-4, 6-8 and 18-21. The changes in these values were compared with the changes in clinical condition.. Prior to treatment, the majority--49 patients or 96.1%--had increased CRP values. In successful treatment, the CRP values decreased significantly in PID patients without TOA on day 3-4, in patients with TOA on day 6-8 and reached normal values in both groups on day 18-21. Changes in clinical condition were most concurrent with changes in CRP.. In assessing PID treatment, the determination of CRP has precedence over L, ESR and BT as the percentage of patients with increased CRP is higher and because the changes in value follow the changes in clinical condition more reliably.

Topics: Abscess; Adult; Blood Sedimentation; Body Temperature; C-Reactive Protein; Ceftriaxone; Clindamycin; Drug Administration Schedule; Drug Therapy, Combination; Female; Gentamicins; Humans; Oophoritis; Pelvic Inflammatory Disease; Prognosis; Prospective Studies; Salpingitis; Sensitivity and Specificity; Severity of Illness Index; Tetracycline

110 patients suffering from laparoscopical verified salpingitis and desire for a baby, were treated with tetracycline (oxytetracycline or doxycycline; TC)/metronidazole (n = 67), augmentan (n = 22) or cipropfloxacin/metronidazole (n = 21). After an average period of 11.6 weeks, all patients underwent second-look laparoscopy with dye insufflation. In 34 patients treated with TC/metronidazole, the effects of additional physio-therapeutical measures were examined under conditions as they prevail in a Spa. 33 patients without balneotherapy served as controls. All the 4 groups were comparable (p greater than 0.05) in respect of mean age, percentage, share of nulliparous women, salpingitis gonorrhoica, contraceptive behaviour and also of the stage of salpingitis. All antibiotic regimens used resulted in a prompt decrease of inflammatory clinical signs after five days (temperature, blood sedimentation rate, leukocytes). Only 2 of 34 patients treated by additional cure at a Spa reported complaints, whereas complaints were reported by 14 of 33 control patients (p less than 0.01), 7 of 22 (p less than 0.01) treated with augmentan and to 7 of 21 (p less than 0.01) treated with ciprofloxacin/metronidazole. The tubal occlusion rates amounted to 33.3% (TC/metronidazole), 32.3% (TC/metronidazole and balneotherapy), 22.7% (augmentan) and 23.8% ciprofloxacin/metronidazole. The differences did not attain statistical significance (p greater than 0.05). With regard to adhesions, there were, likewise, no significant differences between findings at first laparoscopy and second look-laparoscopy, respectively. It is concluded, that additional physiotherapeutic measures, after antibiotic therapy of acute salpingitis, reduce the frequency of lower abdominal pain, but do not result in an improvement of tubal occlusion and reduction of adhesions.(ABSTRACT TRUNCATED AT 250 WORDS)

Topics: Adult; Amoxicillin; Amoxicillin-Potassium Clavulanate Combination; Balneology; Clavulanic Acids; Combined Modality Therapy; Drug Therapy, Combination; Female; Humans; Laparoscopy; Metronidazole; Pelvic Inflammatory Disease; Prospective Studies; Recurrence; Reoperation; Salpingitis; Tetracycline

Eight hundred twenty-five ambulatory women with a clinical diagnosis of salpingitis were randomized to a 10-day course of either penicillin/ampicillin or tetracycline. Forty-four percent of women had gonococcal salpingitis and 56% nongonococcal salpingitis. Overall, both regimens cured equal proportions of women: At 30 days, 81% were cured by penicillin/ampicillin and 82% by tetracycline. However, the proportion of women with gonococcal salpingitis cured by 30 days was significantly greater than that of women with nongonococcal salpingitis. By 30 days, 14% of women with gonococcal salpingitis and 21% of women with nongonococcal salpingitis were not cured by either regimen. These data suggest that both regimens were only marginally acceptable for women with gonococcal salpingitis and that neither regimen was acceptable for nongonococcal salpingitis.

Topics: Adolescent; Adult; Ambulatory Care; Ampicillin; Child; Clinical Trials as Topic; Drug Administration Schedule; Drug Therapy, Combination; Female; Gonorrhea; Humans; Middle Aged; Penicillin G; Penicillin G Procaine; Random Allocation; Salpingitis; Tetracycline; Time Factors; United States

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.

Topics: Adnexa Uteri; Adolescent; Ascites; Chlamydia Infections; Chlamydia trachomatis; Diagnosis, Differential; Fallopian Tube Neoplasms; Fallopian Tubes; Female; Humans; Hyperplasia; Salpingitis; Tetracycline

41 cases of acute salpingitis were treated: either with the combination Augmentin + Tetracycline (A + T) including 21 severe cases treated intravenously for 4 days, then per os and 10 moderate cases treated per os from the beginning-or by Augmentin alone (A) per os for 10 other moderate cases. An accurate bacteriological diagnosis was made before treatment and, in case of failure, most often by celioscopy. A Chlamydia serology was performed. Patients were seen again after 8 days (41 cases), one month (39 cases) and several months (32 cases).. A Chlamydia infection was found responsible, by culture or serology, in one out of 2 cases; only one germ was found in 14 cases, 2 germs in 21 cases and none in 7 cases. The association A + T was effective in all moderate cases at 8 and 30 days; in severe forms, there was a failure at 8 days and 4 others at 30 days or 17%. Augmentin alone per os caused 5 failures out of 10 cases at 8 days. No new failure was observed after several months in cases cured at 30 days. The association A + T may be recommended as very effective in moderate forms of acute salpingitis.

Topics: Acute Disease; Adolescent; Adult; Amoxicillin; Amoxicillin-Potassium Clavulanate Combination; Clavulanic Acids; Drug Therapy, Combination; Female; Humans; Salpingitis; Tetracycline

A case of Fitz-Hugh Curtis syndrome caused by chlamydia is described in which the perihepatic and abdominal swelling also extended to the right perirenal tissue. The case was diagnosed on the basis of the clinical picture, the behaviour of anti-chlamydia serum antibodies, abdominal echography and laparoscopy. The infection was quickly cured by the administration of tetracycline.

Topics: Adult; Chlamydia Infections; Condylomata Acuminata; Female; Hepatitis; Hepatitis, Chronic; Heroin Dependence; Humans; Salpingitis; Syndrome; Syphilis; Tetracycline; Vaginal Neoplasms

Topics: Chlamydia Infections; Chlamydia trachomatis; Endometritis; Female; Genital Diseases, Female; Humans; Pregnancy; Pregnancy Complications, Infectious; Salpingitis; Tetracycline; Urethritis; Uterine Cervicitis; Vaginal Smears; Vaginitis

Chlamydia trachomatis causes more sexually transmissible diseases in the United States than any other organism. Complications of chlamydial urethritis and cervicitis include epididymitis, salpingitis and neonatal pneumonia. Chlamydial infections can be easily treated but, until recently, they have been difficult to diagnose. Presumptive antichlamydial therapy for symptomatic/high-risk individuals was the first step taken towards control. With new methods of diagnosis becoming available, detection in asymptomatic women is the next critical step. Key populations for screening include clinics for family planning, abortion, student health, adolescent care and prenatal care. This article outlines the biology, diseases, diagnosis and treatment of C. trachomatis.

Topics: Antibodies, Monoclonal; Chlamydia Infections; Chlamydia trachomatis; Female; Fluoresceins; Humans; Male; Mass Screening; Nurse Practitioners; Pregnancy; Salpingitis; Tetracycline; Urethritis; Uterine Cervicitis

These recommendations specify appropriate treatment, including dosage of antibiotics for uncomplicated gonococcal infections in adults, infections with penicillinase-producing Neisseria gonorrhoeae, acute salpingitis, acute epididymitis, disseminated gonococcal infections, and gonococcal infections in pediatric patients (including neonatal infections). Special attention is given to important diagnostic considerations, relation of gonococcal infections to concomitant venereal infections, treatment of sexual partners, follow-up, treatment failures, treatments not recommended, allergic problems in treatment, needs for hospitalization, and prevention of gonococcal ophthalmia. Attention is called to the importance of using no less than the recommended dosages of antibiotics.

Topics: Amoxicillin; Ampicillin; Anti-Bacterial Agents; Child; Drug Administration Schedule; Endocarditis, Bacterial; Endophthalmitis; Epididymitis; Female; Gonorrhea; Hospitalization; Humans; Infant, Newborn; Male; Meningitis; Neisseria gonorrhoeae; Penicillin G Procaine; Penicillinase; Pregnancy; Pregnancy Complications, Infectious; Salpingitis; Spectinomycin; Tetracycline

Topics: Acute Disease; Adult; Amoxicillin; Ampicillin; Child; Drug Administration Schedule; Epididymitis; Female; Gonorrhea; Humans; Infant, Newborn; Infant, Newborn, Diseases; Male; Ophthalmia Neonatorum; Penicillin G Procaine; Pregnancy; Pregnancy Complications, Infectious; Probenecid; Salpingitis; Tetracycline

The most frequently seen type of infectious ophthalmia neonatorum, inclusion conjunctivitis, is caused by the organism Chlamydia trachomatis. This agent is known to be transmitted sexually. Until recently, the infections produced by C trachomatis were though to be relatively benign. Recent evidence, however, suggests that the organism may produce urethritis and epididymitis in the male; cervicitis, cervical erosions, salpingitis, and puerperal infections in the female; and prematurity and pneumonitis in the infant. An infant who develops ophthalmia neonatorum should be thoroughly evaluated for the presence of a chlamydial infection. In many instances the first evidence of chlamydial infection within the parents will be the development of inclusion conjunctivitis in their newborn infant. Family members of infants with inclusion conjunctivitis who manifest any evidence of clinical disease should be evaluated and treated with appropriate antibiotics.

Topics: Adult; Chlamydia Infections; Chlamydia trachomatis; Conjunctivitis, Inclusion; Female; Humans; Infant, Newborn; Male; Ophthalmia Neonatorum; Salpingitis; Tetracycline; Urethritis

Appropriate drugs and their proper use are described for the care of adult and pediatric patients with uncomplicated and complicated gonococcal infections in men and women. Special diagnostic considerations in some cases are indicated. These recommendations were established by the Venereal Disease Control Advisory Committee after deliberation with therapy consultants.

Topics: Acute Disease; Ampicillin; Anti-Bacterial Agents; Child; Female; Gonorrhea; Humans; Infant, Newborn; Male; Penicillin G; Pharyngeal Diseases; Pregnancy; Pregnancy Complications, Infectious; Probenecid; Salpingitis; Spectinomycin; Syphilis Serodiagnosis; Tetracycline; Urethra

Topics: Adolescent; Ampicillin; Anti-Bacterial Agents; Arthritis; Child; Child, Preschool; Coitus; Female; Gonorrhea; Humans; Infant; Infant, Newborn; Male; Penicillin G Procaine; Pharyngeal Diseases; Pregnancy; Pregnancy Complications, Infectious; Probenecid; Salpingitis; Spectinomycin; Syphilis Serodiagnosis; Tetracycline; Urethritis

Topics: Acute Disease; Ampicillin; Coitus; Female; Gonorrhea; Humans; Male; Penicillin G Procaine; Pharyngeal Diseases; Pregnancy; Pregnancy Complications, Infectious; Probenecid; Salpingitis; Spectinomycin; Syphilis Serodiagnosis; Tetracycline

Gonorrhea, the nation's second most frequently reported communicable disease, will affect more than a million persons this year. The following is the latest treatment schedule issued by the USPHS Center for Disease Control, Atlanta.

Topics: Adolescent; Ampicillin; Cephalosporins; Child; Child, Preschool; Drug Therapy, Combination; Erythromycin; Female; Gonorrhea; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Male; Penicillin G Procaine; Pharyngitis; Pregnancy; Pregnancy Complications, Infectious; Probenecid; Salpingitis; Spectinomycin; Sulfides; Tetracycline; Tetrazoles; Thiadiazoles; Urethritis

Topics: Adolescent; Adult; Age Factors; Ampicillin; Anti-Bacterial Agents; Cefazolin; Child; Child, Preschool; Endophthalmitis; Erythromycin; Female; Follow-Up Studies; Gonorrhea; Hospitalization; Humans; Infant; Infant, Newborn; Male; Penicillin G; Penicillin G Procaine; Pharyngeal Diseases; Pregnancy; Pregnancy Complications, Infectious; Probenecid; Salpingitis; Sex Factors; Spectinomycin; Tetracycline

Topics: Acute Disease; Adolescent; Adult; Bromelains; Chronic Disease; Drug Combinations; Female; Genital Diseases, Female; Humans; Middle Aged; Parametritis; Pelvic Inflammatory Disease; Peritonitis; Salpingitis; Tetracycline

Topics: Adult; Antigens, Heterophile; Female; Humans; Peritonitis; Prednisolone; Salpingitis; Tetracycline

Topics: Chronic Disease; Endometritis; Female; Genital Diseases, Female; Humans; Inflammation; Oophoritis; Pelvic Inflammatory Disease; Pyrazoles; Salpingitis; Tetracycline

Topics: Adolescent; Adult; Cervix Uteri; Epithelium; Female; Fever; Gonorrhea; Humans; Neisseria gonorrhoeae; Penicillins; Salpingitis; Tetracycline

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenal Glands; Adult; Antineoplastic Agents; Bacteria; Blood; Blood Proteins; Cervix Uteri; Chronic Disease; Dehydroepiandrosterone; Female; Humans; Leukocyte Count; Male; Menstruation; Mononuclear Phagocyte System; Oleandomycin; Oophoritis; Phagocytosis; Polysaccharides, Bacterial; Salpingitis; Serratia marcescens; Tetracycline; Urethra

Topics: Adolescent; Adult; Drug Synergism; Female; Follow-Up Studies; Humans; Infertility, Female; Middle Aged; Oleandomycin; Oophoritis; Prednisolone; Salpingitis; Tetracycline

Topics: Abortion, Septic; Anti-Bacterial Agents; Female; Gynecology; Humans; Mastitis; Obstetrics; Oleandomycin; Peritonitis; Pleuropneumonia; Pregnancy; Puerperal Infection; Salpingitis; Staphylococcal Infections; Tetracycline

Topics: Anti-Bacterial Agents; Drug Resistance, Microbial; Female; Humans; Mycoplasma; Penicillins; Salpingitis; Streptomycin; Tetracycline