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Bacteroides fragilis in acute salpingitis.

G Söderberg, A A Lindberg, C E Nord

    Infection
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Bacteroides fragilis rarely causes acute salpingitis, despite being common in vaginal flora. Studies found limited antibody responses to B. fragilis in patients, suggesting it

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    Area of Science:

    • Gynecology
    • Infectious Diseases
    • Microbiology

    Background:

    • Acute salpingitis is a significant gynecological infection.
    • The specific bacterial etiology of acute salpingitis remains incompletely understood.
    • Understanding the role of anaerobic bacteria, like Bacteroides fragilis, is crucial.

    Purpose of the Study:

    • To investigate the bacteriology of acute salpingitis.
    • To determine the prevalence of specific bacterial isolates, including Neisseria gonorrhoeae and Bacteroides fragilis.
    • To assess the antibody response to Bacteroides fragilis in patients with salpingitis.

    Main Methods:

    • Bacteriological analysis of vaginal and peritoneal fluid samples from 87 patients with acute salpingitis.
    • Culture techniques to identify aerobic and anaerobic bacteria.

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  • Serological assays to measure antibody titers against Bacteroides fragilis polysaccharide antigen.

    • Main Results:

    • Neisseria gonorrhoeae was isolated in 18 patients.
    • Lower bacterial yields were found in peritoneal fluid compared to vaginal cultures, with poor correlation between sites.
    • Anaerobic bacteria, including Bacteroides fragilis, were predominant isolates from peritoneal fluid; however, only 2 of 8 patients with B. fragilis isolates showed significant antibody responses.

    Conclusions:

    • Bacteroides fragilis is infrequently an etiologic agent in acute salpingitis.
    • The study highlights discrepancies between vaginal and peritoneal fluid cultures in diagnosing salpingitis.
    • Further research may be needed to elucidate the role of other anaerobic bacteria in salpingitis pathogenesis.