The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain
Introduction Pelvic pain is typically associated with pelvic inflammatory disease (PID). The most common cause of PID is Chlamydia trachomatis . The aim of this study was to verify the role of serological testing for Chlamydia trachomatis in patients with suspected PID. Material and Methods The...
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Institute of Rural Health
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doaj-a01d8bd19a9a4ab9bf21c4e98254ec712020-11-24T22:17:01ZengInstitute of Rural HealthAnnals of Agricultural and Environmental Medicine1232-19661898-22632016-07-0123350651010.5604/12321966.121919672459The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic painBeata Łój0Agnieszka Brodowska1Sylwester Ciećwież2Iwona Szydłowska3Jacek Brodowski4Marek Łokaj5Andrzej Starczewski6Frauenklinik Asklepios Klinkum Uckermark, Schwedt, GermanyDepartament of Gynecology and Urogynecology, Pomeranian Medical University, Szczecin, PolandDepartament of Gynecology and Urogynecology, Pomeranian Medical University, Szczecin, PolandDepartament of Gynecology and Urogynecology, Pomeranian Medical University, Szczecin, PolandPrimary Healthcare Center, Pomeranian Medical University, Szczecin, PolandClinic of Plastic, Endocrine and General Surgery, Pomeranian Medical University, Szczecin, PolandDepartament of Gynecology and Urogynecology, Pomeranian Medical University, Szczecin, PolandIntroduction Pelvic pain is typically associated with pelvic inflammatory disease (PID). The most common cause of PID is Chlamydia trachomatis . The aim of this study was to verify the role of serological testing for Chlamydia trachomatis in patients with suspected PID. Material and Methods The retrospective study included 185 patients with pelvic pain hospitalized at the Department of Obstetrics and Gynecology in 2003 and 2004. Titers of anti- Chlamydia trachomatis IgG and IgA were measured by means ELISA immunoassays. Erythrocyte sedimentation rate (ESR), serum concentration of C-reactive protein (CRP) and leukocyte count (WBC) were also determined. Final diagnosis was established on the basis of laparoscopic examination. Results The presence of anti- Chlamydia trachomatis antibodies correlated significantly with abnormal values of ESR, WBC and CRP. The most common laparoscopic pathology were pelvic adhesions, typically found in women with elevated titers of anti- Chlamydia trachomatis IgG. Conclusions Serological examination for Chlamydia trachomatis is helpful in evaluation of patients with suspected PID. Elevated titers of anti- Chlamydia trachomatis antibodies are frequently associated with laparoscopic evidence of pelvic adhesions and inflammation.http://www.journalssystem.com/aaem/The-role-of-serological-testing-for-Chlamydia-trachomatis-in-differential-diagnosis-of-pelvic-pain,72459,0,2.htmlChlamydia trachomatislaparoscopyPelvic Pain |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Beata Łój Agnieszka Brodowska Sylwester Ciećwież Iwona Szydłowska Jacek Brodowski Marek Łokaj Andrzej Starczewski |
spellingShingle |
Beata Łój Agnieszka Brodowska Sylwester Ciećwież Iwona Szydłowska Jacek Brodowski Marek Łokaj Andrzej Starczewski The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain Annals of Agricultural and Environmental Medicine Chlamydia trachomatis laparoscopy Pelvic Pain |
author_facet |
Beata Łój Agnieszka Brodowska Sylwester Ciećwież Iwona Szydłowska Jacek Brodowski Marek Łokaj Andrzej Starczewski |
author_sort |
Beata Łój |
title |
The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain |
title_short |
The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain |
title_full |
The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain |
title_fullStr |
The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain |
title_full_unstemmed |
The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain |
title_sort |
role of serological testing for chlamydia trachomatis in differential diagnosis of pelvic pain |
publisher |
Institute of Rural Health |
series |
Annals of Agricultural and Environmental Medicine |
issn |
1232-1966 1898-2263 |
publishDate |
2016-07-01 |
description |
Introduction
Pelvic pain is typically associated with pelvic inflammatory disease (PID). The most common cause of PID is Chlamydia trachomatis . The aim of this study was to verify the role of serological testing for Chlamydia trachomatis in patients with suspected PID.
Material and Methods
The retrospective study included 185 patients with pelvic pain hospitalized at the Department of Obstetrics and Gynecology in 2003 and 2004. Titers of anti- Chlamydia trachomatis IgG and IgA were measured by means ELISA immunoassays. Erythrocyte sedimentation rate (ESR), serum concentration of C-reactive protein (CRP) and leukocyte count (WBC) were also determined. Final diagnosis was established on the basis of laparoscopic examination.
Results
The presence of anti- Chlamydia trachomatis antibodies correlated significantly with abnormal values of ESR, WBC and CRP. The most common laparoscopic pathology were pelvic adhesions, typically found in women with elevated titers of anti- Chlamydia trachomatis IgG.
Conclusions
Serological examination for Chlamydia trachomatis is helpful in evaluation of patients with suspected PID. Elevated titers of anti- Chlamydia trachomatis antibodies are frequently associated with laparoscopic evidence of pelvic adhesions and inflammation. |
topic |
Chlamydia trachomatis laparoscopy Pelvic Pain |
url |
http://www.journalssystem.com/aaem/The-role-of-serological-testing-for-Chlamydia-trachomatis-in-differential-diagnosis-of-pelvic-pain,72459,0,2.html |
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