Acute salpingitis. Diagnostic and therapeutic dilemmas

Acute salpingitis is occurring with increasing frequency among sexually active young women and is associated with a significant risk of long term morbidity, especially infertility. Clinical diagnosis is difficult because symptoms and signs are nonspecific and their severity is not always commensurate with the tubal pathology. No antibiotic is ideal; the choice should depend on the most likely pathogen in each patient and the severity of her disease.