Further observations, mainly serological, on a cohort of XXXX with or without pelvic inflammatory disease.

@entity1 @entity32 @entity66 @entity2371 @entity9414 @entity490 @entity11739 @entity1104 @entity1047
An analysis was undertaken of data pertaining to over 100 @entity1 with lower @entity490 who were laparoscoped. Prior to laparoscopy, 11 of the @entity1 were considered to almost certainly have @entity9414 , of whom six (55%) had @entity9414 at laparoscopy; 17 to probably have @entity9414 , of whom six (35%) did; 28 to possibly have @entity9414 , of whom five (18%) did; and 56 to be very unlikely to have @entity9414 , of whom five (9%) did. Of the 22 @entity1 who had @entity9414 at laparoscopy, 14 (64%) had a @entity1047 IgG antibody titre of >or=1:128 and might reasonably be regarded as having @entity66 on this basis; six without such a titre probably did not have @entity66 as @entity11739 could not be detected at any genital site. At laparoscopy, 18 @entity1 had @entity1104 without obvious @entity32 ; clinically, 15 of them had been regarded as possibly having @entity9414 or unlikely to have it, with 12 having chronic @entity2371 . Twelve (67%) of the 18 @entity1 had a chlamydial IgG antibody titre of >or=1:128. IgM antibody was also detected most often in the ' @entity9414 ' group. Of 49 @entity1 without any abnormality detected at laparoscopy, nine (18%) had a high chlamydial IgG antibody titre. Overall, a @entity1 who had a high titre of chlamydial IgG antibody and acute @entity2371 , together with a clinical picture of @entity32 , was more likely to have @entity9414 than @entity1104 alone. Likewise, a @entity1 who had a high titre of chlamydial IgG antibody and chronic @entity2371 , together with a clinical picture suggesting that @entity9414 was unlikely, was more likely to have @entity1104 alone than acute @entity9414 . However, while antibody measurement and seeking cervical @entity11739 may help in formulating a diagnosis, there seems no simple way of detecting the small proportion of @entity1 who are infected by @entity11739 in the upper genital tract but whose laparoscopic findings indicate normality. So far as @entity1 care is concerned, the only way of preventing damage to the upper genital tract is to treat early on the basis of suspicion.
